CLIA lab
CLIA 46D0904471: Provo Canyon School
Provo, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D0904471 belongs to Provo Canyon School in Provo, UT.
Certificate of Waiver, effective August 22, 2025, expires August 21, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 1995
- Facility type
- Other
- 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
- 46D0904471
- Lab name
- Provo Canyon School
- Address
- 4501 N University Ave, Provo, UT 84604
- Phone
- (801) 491-3910
- Fax
- (801) 852-3902
Annual test volume the lab reported
- Waived tests
- 340
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 Provo Canyon School in Provo?
46D0904471, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provo Canyon School hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D0904471 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.