46D2193849 CLIA NUMBER - CACHE VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D2193849
  • Facility Name: CACHE VALLEY SURGERY CENTER
  • Facility Address: 630 E 1400 N, STE 120
    LOGAN, UT
    ZIP 84341
  • Facility Phone: (435) 787-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN F. RICHARDSON
  • NPI Number: 1063037703
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2193849
LAB Type Ambulatory Surgery Center
Facility Name CACHE VALLEY SURGERY CENTER
Street 630 E 1400 N, STE 120
City LOGAN
State UT
ZIP 84341
Phone 4357877246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN F. RICHARDSON

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This page was last updated on: 5/18/2026