46D2301955 CLIA NUMBER - AVENUES SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 46D2301955
  • Facility Name: AVENUES SURGERY CENTER, LLC
  • Facility Address: 359 8TH AVENUE
    SALT LAKE CITY, UT
    ZIP 84103
  • Facility Phone: 801 408-3200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RUTH A. ZIMMER
  • NPI Number: 1164647707
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2301955
LAB Type Ambulatory Surgery Center
Facility Name AVENUES SURGERY CENTER, LLC
Street 359 8TH AVENUE
City SALT LAKE CITY
State UT
ZIP 84103
Phone 801 408-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Ambulatory Surgery Center
Lab Director RUTH A. ZIMMER

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