46D0660898 CLIA NUMBER - INTERMOUNTAIN HEALTH LOGAN REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0660898
  • Facility Name: INTERMOUNTAIN HEALTH LOGAN REGIONAL HOSPITAL
  • Facility Address: 1400 N 500 E
    LOGAN, UT
    ZIP 84341
  • Facility Phone: 435 716-5200
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARK A. BENEDICT
  • NPI Number: 1710996673
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0660898
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH LOGAN REGIONAL HOSPITAL
Street 1400 N 500 E
City LOGAN
State UT
ZIP 84341
Phone 435 716-5200
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. MARK A. BENEDICT

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