CLIA lab

CLIA 46D2079153: Alpine Pediatrics Vineyard Location

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

CLIA number 46D2079153 belongs to Alpine Pediatrics Vineyard Location in Orem, UT.

Certificate of Waiver, effective June 11, 2026, expires June 10, 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
June 11, 2026
Certificate expiration
June 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 11, 2014
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
46D2079153
Lab name
Alpine Pediatrics Vineyard Location
Address
667 E 500 N, Orem, UT 84059
Phone
(801) 374-1999
Fax
(801) 802-1329

Annual test volume the lab reported

Waived tests
250

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

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Questions

What is the CLIA number for Alpine Pediatrics Vineyard Location in Orem?

46D2079153, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Alpine Pediatrics Vineyard Location hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 46D2079153 expire?

The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.

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