46D2199569 CLIA NUMBER - SUMMIT COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 46D2199569
  • Facility Name: SUMMIT COUNTY JAIL
  • Facility Address: 6300 JUSTICE CENTER DRIVE
    PARK CITY, UT
    ZIP 84098
  • Facility Phone: 435 615-3579
  • Facility Type: Prison
  • Facility Type: Microscopy
  • Lab Director: KENNON C. TUBBS
  • NPI Number: 1508872177
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 46D2199569
LAB Type Prison
Facility Name SUMMIT COUNTY JAIL
Street 6300 JUSTICE CENTER DRIVE
City PARK CITY
State UT
ZIP 84098
Phone 435 615-3579
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Prison
Lab Director KENNON C. TUBBS

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