46D2329664 CLIA NUMBER - ELEVATE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 46D2329664
  • Facility Name: ELEVATE INTERNAL MEDICINE
  • Facility Address: 1377 E 3900 SM SUITE 200
    SALT LAKE CITY, UT
    ZIP 84124
  • Facility Phone: 385 743-1051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGAN J. ENGELEN
  • NPI Number: 1326919051
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2329664
LAB Type Physician Office
Facility Name ELEVATE INTERNAL MEDICINE
Street 1377 E 3900 SM SUITE 200
City SALT LAKE CITY
State UT
ZIP 84124
Phone 385 743-1051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director MEGAN J. ENGELEN

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