46D0660929 CLIA NUMBER - KANE COUNTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0660929
  • Facility Name: KANE COUNTY HOSPITAL
  • Facility Address: 355 N MAIN
    KANAB, UT
    ZIP 84741
  • Facility Phone: 435 644-4128
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: JEREMY L. WALLENTINE MD
  • NPI Number: 1386853661
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 46D0660929
LAB Type Hospital
Facility Name KANE COUNTY HOSPITAL
Street 355 N MAIN
City KANAB
State UT
ZIP 84741
Phone 435 644-4128
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Hospital
Lab Director JEREMY L. WALLENTINE MD

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