CLIA lab
CLIA 46D2034725: Hillside Medical Clinic LLC
Salem, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2034725 belongs to Hillside Medical Clinic LLC in Salem, UT.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2012
- 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
- 46D2034725
- Lab name
- Hillside Medical Clinic LLC
- Address
- 112 North Main Street, Salem, UT 84653
- Phone
- (801) 477-9007
- Fax
- (801) 477-9006
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- MT Nebo DialysisCertificate of Waiver, End stage renal disease dialysis facility46D2140286
- Pediatric CareCertificate of Waiver, Physician office46D2320633
- Revere Health Salem DermatologyCertificate of Compliance, Physician office46D2138257
- Revere Health Salem Urgent CareCertificate of Compliance, Physician office46D2241864
- Revere Health Scip ImCertificate of Waiver, Physician office46D0909414
- Revere Health Scip LabCertificate of Accreditation, Physician office46D0525629
Related
Questions
What is the CLIA number for Hillside Medical Clinic LLC in Salem?
46D2034725, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hillside Medical Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2034725 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.