CLIA lab
CLIA 46D2119558: Intermountain Park City Specialty Mohs Surgery
Park City, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2119558 belongs to Intermountain Park City Specialty Mohs Surgery in Park City, UT.
Certificate of Compliance, effective August 4, 2025, expires August 3, 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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2016
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D2119558
- Lab name
- Intermountain Park City Specialty Mohs Surgery
- Address
- 900 Round Valley Drive, Ste 200, Park City, UT 84060
- Phone
- (435) 658-7246
Annual test volume the lab reported
- Other nonwaived tests
- 971
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Park City, UT
- Apex Concierge MedicineCertificate of Waiver, Physician office46D2295392
- Docere ClinicsCertificate of Waiver, Physician office46D1012836
- Fresh Market Pharmacy #2307Certificate of Waiver, Pharmacy46D2017929
- Fresh Market Pharmacy #2365Certificate of Waiver, Pharmacy46D1031891
- Global Microsurgical Center of Park City, LLCCertificate of Waiver, Ambulatory surgery center46D2211560
- Intermountain Canyons ClinicCertificate of Waiver, Rural health clinic46D2031169
- Intermountain Health Park City Hospital LaboratoryCertificate of Accreditation, Hospital46D1050312
- Intermountain Mountain Family Health ClinicCertificate of Waiver, Physician office46D1088807
- Intermountain Park City InstacareCertificate of Compliance, Other46D0681306
- Intermountain Park City Mountain Medical ClinicCertificate of Waiver, Physician office46D2120680
Related
Questions
What is the CLIA number for Intermountain Park City Specialty Mohs Surgery in Park City?
46D2119558, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermountain Park City Specialty Mohs Surgery hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 46D2119558 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.