CLIA lab

CLIA 46D2123206: Daniel J Hansen, DO, PLLC

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

CLIA number 46D2123206 belongs to Daniel J Hansen, DO, PLLC in Syracuse, UT.

Certificate for Provider-Performed Microscopy Procedures, effective December 14, 2024, expires December 13, 2026.

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 for Provider-Performed Microscopy Procedures
Certificate effective
December 14, 2024
Certificate expiration
December 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 14, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
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
46D2123206
Lab name
Daniel J Hansen, DO, PLLC
Additional name
DBA Northern Utah Dermatology
Address
736 S 200 W, Ste #1, Syracuse, UT 84075
Phone
(801) 399-3325
Fax
(801) 394-2807

Annual test volume the lab reported

Waived tests
250
Provider-performed microscopy tests
100
Total
350

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

Affiliated CLIA numbers

Other labs in Syracuse, UT

Related

Questions

What is the CLIA number for Daniel J Hansen, DO, PLLC in Syracuse?

46D2123206, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Daniel J Hansen, DO, PLLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 46D2123206 expire?

The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.

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