CLIA lab
CLIA 46D2289210: Foot & Ankle Center of Cache Valley
Providence, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2289210 belongs to Foot & Ankle Center of Cache Valley in Providence, UT.
Certificate of Waiver, effective September 7, 2025, expires September 6, 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 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 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
- 46D2289210
- Lab name
- Foot & Ankle Center of Cache Valley
- Address
- 435 N Gateway Drive, Providence, UT 84332
- Phone
- (435) 787-1023
- Fax
- (435) 787-1883
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gameday Mens Health-LoganCertificate of Accreditation, Physician office46D2317284
- Health West ProvidenceCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center46D2055060
- Kelly Hubbard, Md-Cache Valley DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office46D2175159
- 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 Foot & Ankle Center of Cache Valley in Providence?
46D2289210, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Foot & Ankle Center of Cache Valley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2289210 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.