46D2320222 CLIA NUMBER - SOUTH DAVIS SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 46D2320222
  • Facility Name: SOUTH DAVIS SPECIALTY CARE
  • Facility Address: 401 SOUTH 400 EAST
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 295-2361
  • Facility Type: Tissue Bank/Repositories
  • Facility Type: Waiver
  • Lab Director: SCOTT SOUTHWORTH
  • NPI Number: 1174566384
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2320222
LAB Type Tissue Bank/Repositories
Facility Name SOUTH DAVIS SPECIALTY CARE
Street 401 SOUTH 400 EAST
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 295-2361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Tissue Bank/Repositories
Lab Director SCOTT SOUTHWORTH

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