CLIA lab

CLIA 46D0909414: Revere Health Scip Im

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

CLIA number 46D0909414 belongs to Revere Health Scip Im in Salem, UT.

Certificate of Waiver, effective December 29, 2024, expires December 28, 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 Waiver
Certificate effective
December 29, 2024
Certificate expiration
December 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 1995
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
46D0909414
Lab name
Revere Health Scip Im
Address
2nd Floor, 1st Hall, 555 W 2000 North, Salem, UT 84653
Phone
(435) 465-4813
Fax
(435) 465-7207

Annual test volume the lab reported

Waived tests
1,200

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

Affiliated CLIA numbers

Other labs in Salem, UT

Related

Questions

What is the CLIA number for Revere Health Scip Im in Salem?

46D0909414, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revere Health Scip Im hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 46D0909414 expire?

The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.

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