CLIA lab

CLIA 46D0726399: Northeastern Utah Medical Group

Roosevelt, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 46D0726399 belongs to Northeastern Utah Medical Group in Roosevelt, UT.

Certificate of Compliance, effective March 28, 2024, expires October 31, 2026.

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
March 28, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
April 1, 1994
Facility type
Physician office
Ownership (control type)
Private
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
46D0726399
Lab name
Northeastern Utah Medical Group
Address
210 W 300 N, Roosevelt, UT 84066
Phone
(435) 722-4691
Fax
(435) 725-9291

Annual test volume the lab reported

Other nonwaived tests
545

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Roosevelt, UT

Related

Questions

What is the CLIA number for Northeastern Utah Medical Group in Roosevelt?

46D0726399, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northeastern Utah Medical Group hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 46D0726399 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect March 28, 2024.

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