CLIA lab
CLIA 46D2175159: Kelly Hubbard, Md-Cache Valley Dermatology
Providence, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2175159 belongs to Kelly Hubbard, Md-Cache Valley Dermatology in Providence, UT.
Certificate for Provider-Performed Microscopy Procedures, effective November 18, 2025, expires November 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2019
- 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
- 46D2175159
- Lab name
- Kelly Hubbard, Md-Cache Valley Dermatology
- Address
- 530 W 465 N, Suite 701, Providence, UT 84332
- Phone
- (435) 752-5741
- Fax
- (435) 752-5746
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 400
- Total
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Providence, UT
- Cache Valley Assisted LivingCertificate of Waiver, Assisted living facility46D2196288
- Center for Creativity Innovation & Discovery, theCertificate of Waiver, Tissue bank or repository46D2332953
- Clear Recovery of Cache Valley, LLCCertificate of Waiver, Other46D2103600
- Foot & Ankle Center of Cache ValleyCertificate of Waiver, Physician office46D2289210
- Gameday Mens Health-LoganCertificate of Accreditation, Physician office46D2317284
- Health West ProvidenceCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center46D2055060
- Living Tree Medical GroupCertificate of Waiver, Physician office46D2246257
- Logan River Medicine Ogden ClinicCertificate of Waiver, Physician office46D2305059
- Lone Pine Dermatology LLCCertificate of Compliance, Physician office46D2277018
- Macey's Pharmacy #8Certificate of Waiver, Pharmacy46D1035987
Related
Questions
What is the CLIA number for Kelly Hubbard, Md-Cache Valley Dermatology in Providence?
46D2175159, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly Hubbard, Md-Cache Valley Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 46D2175159 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.