Intermountain Memorial Clinic Mohs Surgery

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 46D2116060
Address 2000 South 900 East, Salt Lake City, UT, 84105
City Salt Lake City
State UT
Zip Code84105
Phone(801) 464-7500

Citation History (1 survey)

Survey - May 9, 2018

Survey Type: Standard

Survey Event ID: BQVN11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 Based on an on-site survey, conducted on 05/09/2018, the laboratory located at 2000 South 900 East, Salt Lake City, UT is found to be in substantial compliance with 42 CFR part 493, the Clinical Laboratory Improvement Amendments, (CLIA) for the sub- specialty of Histopathology. No deficiencies are cited. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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