CLIA lab

CLIA 46D2277901: Revere Health Provo Dermatology

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

CLIA number 46D2277901 belongs to Revere Health Provo Dermatology in Provo, UT.

Certificate of Compliance, effective April 4, 2026, expires April 3, 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 of Compliance
Certificate effective
April 4, 2026
Certificate expiration
April 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2023
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
46D2277901
Lab name
Revere Health Provo Dermatology
Address
1055 N 500 W Suite 111, Provo, UT 84604
Phone
(801) 374-8999
Fax
(801) 429-8063

Annual test volume the lab reported

Waived tests
766
Provider-performed microscopy tests
102
Other nonwaived tests
1,464
Total
2,332

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

Affiliated CLIA numbers

Other labs in Provo, UT

Related

Questions

What is the CLIA number for Revere Health Provo Dermatology in Provo?

46D2277901, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revere Health Provo Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 46D2277901 expire?

The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.

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