46D2152493 CLIA NUMBER - PROMISE MEDICAL

Laboratory Demographics

  • CLIA Code: 46D2152493
  • Facility Name: PROMISE MEDICAL
  • Facility Address: 159 N 400 W #B-8
    OREM, UT
    ZIP 84057
  • Facility Phone: 385 262-4135
  • Facility Type: Other - APRN
  • Facility Type: Waiver
  • Lab Director: ANNE E. VINCENT
  • NPI Number: 1548753866
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2152493
LAB Type Other - APRN
Facility Name PROMISE MEDICAL
Street 159 N 400 W #B-8
City OREM
State UT
ZIP 84057
Phone 385 262-4135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Other - APRN
Lab Director ANNE E. VINCENT

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This page was last updated on: 9/29/2025