CLIA lab
CLIA 46D2329583: Mod Doc Kaysville LLC
Kaysville, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2329583 belongs to Mod Doc Kaysville LLC in Kaysville, UT.
Certificate of Waiver, effective September 2, 2025, expires September 1, 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 2, 2025
- Certificate expiration
- September 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 2, 2025
- Facility type
- Community clinic
- 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
- 46D2329583
- Lab name
- Mod Doc Kaysville LLC
- Address
- 1188 W Sportsplex Dr, Suite 102, Kaysville, UT 84037
- Phone
- (801) 654-2042
Annual test volume the lab reported
- Waived tests
- 300
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 Mod Doc Kaysville LLC in Kaysville?
46D2329583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mod Doc Kaysville LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2329583 expire?
The CMS file lists September 1, 2027 as the certificate expiration date; the certificate took effect September 2, 2025.