CLIA lab
CLIA 46D1030419: Mountain West Pediatrics
Tooele, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D1030419 belongs to Mountain West Pediatrics in Tooele, UT.
Certificate of Waiver, effective September 7, 2026, expires September 6, 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 Waiver
- Certificate effective
- September 7, 2026
- Certificate expiration
- September 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 2004
- 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
- 46D1030419
- Lab name
- Mountain West Pediatrics
- Address
- 2356 N 400 E, Ste 202, Tooele, UT 84074
- Phone
- (435) 843-8380
- Fax
- (435) 843-8382
Annual test volume the lab reported
- Waived tests
- 2,800
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 Mountain West Pediatrics in Tooele?
46D1030419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain West Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D1030419 expire?
The CMS file lists September 6, 2028 as the certificate expiration date; the certificate took effect September 7, 2026.