CLIA lab
CLIA 46D2289001: Revere Health Provo Family Medicine-Jones
Provo, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2289001 belongs to Revere Health Provo Family Medicine-Jones in Provo, UT.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2023
- 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
- 46D2289001
- Lab name
- Revere Health Provo Family Medicine-Jones
- Address
- 1055 N 500 W, Building A, Provo, UT 84604
- Phone
- (385) 203-1250
- Fax
- (801) 812-5034
Annual test volume the lab reported
- Waived tests
- 1,048
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 Revere Health Provo Family Medicine-Jones in Provo?
46D2289001, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revere Health Provo Family Medicine-Jones hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2289001 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.