46D2214836 CLIA NUMBER - PRIME LABS LLC

Laboratory Demographics

  • CLIA Code: 46D2214836
  • Facility Name: PRIME LABS LLC
  • Facility Address: 10619 S JORDAN GATEWAY BLVD SUITE 125
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 385 645-7400
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: RONALD O. BROWNE
  • NPI Number: 1639769953
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 46D2214836
LAB Type Independent
Facility Name PRIME LABS LLC
Street 10619 S JORDAN GATEWAY BLVD SUITE 125
City SOUTH JORDAN
State UT
ZIP 84095
Phone 385 645-7400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Independent
Lab Director RONALD O. BROWNE

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