46D0524697 CLIA NUMBER - INTERMOUNTAIN HEALTH LDS HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0524697
  • Facility Name: INTERMOUNTAIN HEALTH LDS HOSPITAL
  • Facility Address: 8TH AVE & C ST
    SALT LAKE CITY, UT
    ZIP 84143
  • Facility Phone: 801 408-1041
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SARAH J. ILSTRUP
  • NPI Number: 1699795831
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0524697
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH LDS HOSPITAL
Street 8TH AVE & C ST
City SALT LAKE CITY
State UT
ZIP 84143
Phone 801 408-1041
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. SARAH J. ILSTRUP

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This page was last updated on: 9/29/2025