CLIA lab

CLIA 46D1072979: Bountiful Clinic - Dermatology

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

CLIA number 46D1072979 belongs to Bountiful Clinic - Dermatology in Bountiful, UT.

Certificate of Compliance, effective November 8, 2024, expires November 7, 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
November 8, 2024
Certificate expiration
November 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 2007
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
46D1072979
Lab name
Bountiful Clinic - Dermatology
Address
390 North Main, Bountiful, UT 84010
Phone
(801) 397-6600
Fax
(801) 397-6719

Annual test volume the lab reported

Waived tests
200
Other nonwaived tests
700
Total
900

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 Bountiful Clinic - Dermatology in Bountiful?

46D1072979, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bountiful Clinic - Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 46D1072979 expire?

The CMS file lists November 7, 2026 as the certificate expiration date; the certificate took effect November 8, 2024.

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