CLIA lab

CLIA 46D2019240: Roosevelt VA Cboc

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

CLIA number 46D2019240 belongs to Roosevelt VA Cboc in Roosevelt, UT.

Certificate of Accreditation, effective January 25, 2011, expires May 22, 2032.

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 Accreditation
Certificate effective
January 25, 2011
Certificate expiration
May 22, 2032
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2011
Facility type
Community clinic
Ownership (control type)
Government, federal
Lab classification
CLIA VA laboratory
Accrediting organizations
The Joint Commission
Directly affiliated labs
6

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

Lab and contact

CLIA number
46D2019240
Lab name
Roosevelt VA Cboc
Address
245 West 200 North, Roosevelt, UT 84066
Phone
(801) 582-1565
Fax
(435) 725-1057

Annual test volume the lab reported

Waived tests
160
Tests under accreditation
160
Total
320

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

Affiliated CLIA numbers

Other labs in Roosevelt, UT

Related

Questions

What is the CLIA number for Roosevelt VA Cboc in Roosevelt?

46D2019240, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Roosevelt VA Cboc hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 46D2019240 expire?

The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect January 25, 2011.

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