46D2165508 CLIA NUMBER - OC TANNER HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 46D2165508
  • Facility Name: OC TANNER HEALTH CENTER
  • Facility Address: 1865 S MAIN ST, SUITE 4
    SALT LAKE CITY, UT
    ZIP 84115
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: JANICE SCHORR
  • NPI Number: 1033773544
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2165508
LAB Type Other - ONSITE HEALTH CENTER
Facility Name OC TANNER HEALTH CENTER
Street 1865 S MAIN ST, SUITE 4
City SALT LAKE CITY
State UT
ZIP 84115
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Other - ONSITE HEALTH CENTER
Lab Director JANICE SCHORR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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