CLIA lab
CLIA 46D0683172: Utah State Developmental Center
Am Fork, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D0683172 belongs to Utah State Developmental Center in Am Fork, UT.
Certificate for Provider-Performed Microscopy Procedures, effective September 4, 2025, expires September 3, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 4, 2025
- Certificate expiration
- September 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D0683172
- Lab name
- Utah State Developmental Center
- Address
- 895 N 900 E, Am Fork, UT 84003
- Phone
- (801) 763-4000
- Fax
- (801) 763-4024
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 5
- Total
- 505
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Utah State Developmental Center in Am Fork?
46D0683172, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Utah State Developmental Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 46D0683172 expire?
The CMS file lists September 3, 2027 as the certificate expiration date; the certificate took effect September 4, 2025.