CLIA lab
CLIA 46D2175077: Premise Health of Utah Medical, PC
Spanish Fork, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2175077 belongs to Premise Health of Utah Medical, PC in Spanish Fork, UT.
Certificate of Waiver, effective November 14, 2025, expires November 13, 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 Waiver
- Certificate effective
- November 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2019
- 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
- 46D2175077
- Lab name
- Premise Health of Utah Medical, PC
- Address
- 135 West 300 South Main, Spanish Fork, UT 84660
- Phone
- (801) 508-6072
- Fax
- (801) 508-6074
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Foothill Residential TreatmentCertificate of Waiver, Other46D2345079
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- Hearthstone Manor Cic Assisted Living LLCCertificate of Waiver, Assisted living facility46D2197791
- Intermountain Health Spanish Fork HospitalCertificate of Accreditation, Hospital46D2183181
- Intermountain Spanish Fork ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office46D2215277
- Life BalanceCertificate of Waiver, Comprehensive outpatient rehab facility46D2145144
- Macey's Pharmacy #10Certificate of Waiver, Pharmacy46D1035973
Related
Questions
What is the CLIA number for Premise Health of Utah Medical, PC in Spanish Fork?
46D2175077, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Utah Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2175077 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.