46D2260954 CLIA NUMBER - CITY CREEK SURGICAL SERVICES

Laboratory Demographics

  • CLIA Code: 46D2260954
  • Facility Name: CITY CREEK SURGICAL SERVICES
  • Facility Address: 1046 EAST 100 SOUTH, SUITE D
    SALT LAKE CITY, UT
    ZIP 84102
  • Facility Phone: 801 410-5638
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MINDY HALL
  • NPI Number: 1295187730
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2260954
LAB Type Ambulatory Surgery Center
Facility Name CITY CREEK SURGICAL SERVICES
Street 1046 EAST 100 SOUTH, SUITE D
City SALT LAKE CITY
State UT
ZIP 84102
Phone 801 410-5638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Ambulatory Surgery Center
Lab Director MINDY HALL

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