46D2170618 CLIA NUMBER - MILLCREEK SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 46D2170618
  • Facility Name: MILLCREEK SURGICAL CENTER
  • Facility Address: 1045 E 3900 S #205
    SALT LAKE CITY, UT
    ZIP 84124
  • Facility Phone: 801 449-9990
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN R. MOBLEY
  • NPI Number: 1992710602
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 46D2170618
LAB Type Ambulatory Surgery Center
Facility Name MILLCREEK SURGICAL CENTER
Street 1045 E 3900 S #205
City SALT LAKE CITY
State UT
ZIP 84124
Phone 801 449-9990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Ambulatory Surgery Center
Lab Director STEVEN R. MOBLEY

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