46D2289001 CLIA NUMBER - REVERE HEALTH PROVO FAMILY MEDICINE-JONES

Laboratory Demographics

  • CLIA Code: 46D2289001
  • Facility Name: REVERE HEALTH PROVO FAMILY MEDICINE-JONES
  • Facility Address: 1055 N 500 W, BUILDING A
    PROVO, UT
    ZIP 84604
  • Facility Phone: 385 203-1250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR JUSTIN E. JONES
  • NPI Number: 1851631139
  • Taxonomy: 207RH0003X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2289001
LAB Type Physician Office
Facility Name REVERE HEALTH PROVO FAMILY MEDICINE-JONES
Street 1055 N 500 W, BUILDING A
City PROVO
State UT
ZIP 84604
Phone 385 203-1250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director DR JUSTIN E. JONES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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