46D0525589 CLIA NUMBER - INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0525589
  • Facility Name: INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL
  • Facility Address: 674 S HWY 99
    FILLMORE, UT
    ZIP 84631
  • Facility Phone: 435 743-1539
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SAM PAGE
  • NPI Number: 1154438596
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 46D0525589
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL
Street 674 S HWY 99
City FILLMORE
State UT
ZIP 84631
Phone 435 743-1539
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 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Hospital
Lab Director DR. SAM PAGE

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This page was last updated on: 3/20/2025