CLIA lab
CLIA 46D2097163: Legacy Dermatology
Bountiful, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2097163 belongs to Legacy Dermatology in Bountiful, UT.
Certificate of Compliance, effective December 15, 2025, expires December 14, 2027.
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
- December 15, 2025
- Certificate expiration
- December 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 9, 2015
- 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
- 46D2097163
- Lab name
- Legacy Dermatology
- Address
- 320 W 500 S Suite 210, Bountiful, UT 84010
- Phone
- (801) 797-9121
- Fax
- (801) 797-9182
Annual test volume the lab reported
- Waived tests
- 650
- Other nonwaived tests
- 145
- Total
- 795
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bountiful, UT
- Alta Pain Physicians PLLCCertificate of Waiver, Physician office46D2337766
- Alyze - Bountiful, LLCCertificate of Registration, Independent46D2341325
- Ambrose Healthcare, LLCCertificate of Waiver, Home health agency46D2147832
- Bahr Dermatology PCCertificate of Compliance, Physician office46D2100807
- Bountiful ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office46D2275767
- Bountiful Clinic - DermatologyCertificate of Compliance, Physician office46D1072979
- Bountiful Clinic - InstacareCertificate of Compliance, Physician office46D0522511
- Bountiful DialysisCertificate of Waiver, End stage renal disease dialysis facility46D0953427
- Bountiful DrugCertificate of Waiver, Pharmacy46D1001834
- Bountiful UrologyCertificate of Waiver, Physician office46D2319114
Related
Questions
What is the CLIA number for Legacy Dermatology in Bountiful?
46D2097163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 46D2097163 expire?
The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.