CLIA lab
CLIA 46D2246257: Living Tree Medical Group
Providence, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2246257 belongs to Living Tree Medical Group in Providence, UT.
Certificate of Waiver, effective December 22, 2025, expires December 21, 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
- December 22, 2025
- Certificate expiration
- December 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 2021
- 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
- 46D2246257
- Lab name
- Living Tree Medical Group
- Address
- 169 N Gateway Drive, Suite 170, Providence, UT 84332
- Phone
- (435) 565-6043
- Fax
- (435) 220-2030
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Living Tree Medical Group in Providence?
46D2246257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Living Tree Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2246257 expire?
The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.