CLIA lab

CLIA 46D2197383: Medallion Supported Living Payson

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

CLIA number 46D2197383 belongs to Medallion Supported Living Payson in Payson, UT.

Certificate of Waiver, effective October 23, 2024, expiration date October 22, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 23, 2024
Certificate expiration
October 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 23, 2020
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
46D2197383
Lab name
Medallion Supported Living Payson
Address
2192 W State Rd, Payson, UT 84651
Phone
(801) 357-2710
Fax
(801) 377-3651

Annual test volume the lab reported

Waived tests
1,040

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

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Questions

What is the CLIA number for Medallion Supported Living Payson in Payson?

46D2197383, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medallion Supported Living Payson hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 46D2197383 expire?

The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.

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