46D2242890 CLIA NUMBER - INNOVATION SURGICAL SPECIALTIES, LLC

Laboratory Demographics

  • CLIA Code: 46D2242890
  • Facility Name: INNOVATION SURGICAL SPECIALTIES, LLC
  • Facility Address: 836 S ANGEL STREET, SUITE 103
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 540-7800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DOUG TOOLE
  • NPI Number: 1588326870
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2242890
LAB Type Ambulatory Surgery Center
Facility Name INNOVATION SURGICAL SPECIALTIES, LLC
Street 836 S ANGEL STREET, SUITE 103
City LAYTON
State UT
ZIP 84041
Phone 801 540-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Ambulatory Surgery Center
Lab Director DOUG TOOLE

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