CLIA lab
CLIA 46D0694743: Johnson Pediatrics
Provo, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D0694743 belongs to Johnson Pediatrics in Provo, UT.
Certificate of Compliance, effective September 13, 2026, expires September 12, 2028.
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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- September 13, 2026
- Certificate expiration
- September 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 46D0694743
- Lab name
- Johnson Pediatrics
- Address
- 1675 N 200 W Ste 9C, Provo, UT 84604
- Phone
- (801) 377-4800
- Fax
- (801) 377-4041
Annual test volume the lab reported
- Waived tests
- 500
- Other nonwaived tests
- 75
- Total
- 575
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Johnson Pediatrics in Provo?
46D0694743, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson Pediatrics hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 46D0694743 expire?
The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.