46D2294573 CLIA NUMBER - UNIVERSITY OF UTAH

Laboratory Demographics

CLIA Number: 46D2294573

Facility Name: UNIVERSITY OF UTAH

Facility Address:
30 N MARIO CAPECCI DR
SALT LAKE CITY, UT
ZIP 84112
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Facility Phone Number: 801 585-6140

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1699796706

Taxonomy: 207QS0010X - Family Medicine
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

CLIA Record

Field Name	Field Value
CLIA Number	46D2294573
LAB Type	Mobile Laboratory
Facility Name	UNIVERSITY OF UTAH
Street	30 N MARIO CAPECCI DR
City	SALT LAKE CITY
State	UT
ZIP	84112
Phone	801 585-6140
CertificateType	4
CertificateEffectiveDate	11/28/2023
CertificateExpirationDate	11/27/2025
FacilityType	Waiver

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