46D2212805 CLIA NUMBER - CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS HEALTH UNIT

Laboratory Demographics

CLIA Number: 46D2212805

Facility Name: CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS HEALTH UNIT

Facility Address:
50 EAST NORTH TEMPLE
SALT LAKE CITY, UT
ZIP 84150
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Facility Phone Number: 801 240-2807

Facility Type: Other - HEALTH CENTER FOR CAB AND

Certificate Type: Waiver

NPI Number: 1598093676

Taxonomy: 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery)
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

CLIA Record

Field Name Field Value
CLIA Number 46D2212805
LAB Type Other - HEALTH CENTER FOR CAB AND
Facility Name CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS HEALTH UNIT
Street 50 EAST NORTH TEMPLE
City SALT LAKE CITY
State UT
ZIP 84150
Phone 801 240-2807
CertificateType 4
CertificateEffectiveDate 2/8/2023
CertificateExpirationDate 2/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024