CLIA lab

CLIA 46D2136657: FJM Medical Clinic Basecamp

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

CLIA number 46D2136657 belongs to FJM Medical Clinic Basecamp in Salt Lake City, UT.

Certificate for Provider-Performed Microscopy Procedures, effective April 23, 2026, expires April 22, 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 23, 2026
Certificate expiration
April 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 2017
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
46D2136657
Lab name
FJM Medical Clinic Basecamp
Address
185 S State Street, Suite 208, Salt Lake City, UT 84111
Phone
(801) 821-5454

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
5
Total
505

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

Affiliated CLIA numbers

Other labs in Salt Lake City, UT

Related

Questions

What is the CLIA number for FJM Medical Clinic Basecamp in Salt Lake City?

46D2136657, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FJM Medical Clinic Basecamp hold?

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

When does CLIA 46D2136657 expire?

The CMS file lists April 22, 2028 as the certificate expiration date; the certificate took effect April 23, 2026.

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