46D2321511 CLIA NUMBER - UTAH PATHOLOGY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 46D2321511
  • Facility Name: UTAH PATHOLOGY SERVICES, INC
  • Facility Address: 1055 N 500 W BLDG C
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 266-0055
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FAYE C. GIANGIACOMO
  • NPI Number: 1134188998
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2321511
LAB Type Physician Office
Facility Name UTAH PATHOLOGY SERVICES, INC
Street 1055 N 500 W BLDG C
City PROVO
State UT
ZIP 84604
Phone 801 266-0055
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director FAYE C. GIANGIACOMO

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