46D2202239 CLIA NUMBER - PARK CITY SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 46D2202239
  • Facility Name: PARK CITY SCHOOL DISTRICT
  • Facility Address: 1750 KEARNS BOULEVARD
    PARK CITY, UT
    ZIP 84060
  • Facility Phone: (435) 645-5600
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHAEL TANNER
  • NPI Number: 1508067950
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2202239
LAB Type School/Student Health Service
Facility Name PARK CITY SCHOOL DISTRICT
Street 1750 KEARNS BOULEVARD
City PARK CITY
State UT
ZIP 84060
Phone 4356455600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type School/Student Health Service
Lab Director MICHAEL TANNER

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This page was last updated on: 6/29/2026