46D2156197 CLIA NUMBER - LOGAN SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 46D2156197
  • Facility Name: LOGAN SURGICAL SUITES, LLC
  • Facility Address: 55 EAST GOLF COURSE ROAD
    LOGAN, UT
    ZIP 84321
  • Facility Phone: 435 787-7190
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID M. ROWLEY
  • NPI Number: 1104301613
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2156197
LAB Type Ambulatory Surgery Center
Facility Name LOGAN SURGICAL SUITES, LLC
Street 55 EAST GOLF COURSE ROAD
City LOGAN
State UT
ZIP 84321
Phone 435 787-7190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID M. ROWLEY

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