46D0678424 CLIA NUMBER - INTERMOUNTAIN HEALTH BEAR RIVER VALLEY HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0678424
  • Facility Name: INTERMOUNTAIN HEALTH BEAR RIVER VALLEY HOSPITAL
  • Facility Address: 905 NORTH 1000 WEST
    TREMONTON, UT
    ZIP 84337
  • Facility Phone: 435 207-4530
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARK A. BENEDICT
  • NPI Number: 1568952190
  • Taxonomy: 246ZE0600X - Specialist/Technologist, Other

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CLIA Record

Field Name Field Value
CLIA Number 46D0678424
LAB Type Hospital
Facility Name INTERMOUNTAIN HEALTH BEAR RIVER VALLEY HOSPITAL
Street 905 NORTH 1000 WEST
City TREMONTON
State UT
ZIP 84337
Phone 435 207-4530
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 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Hospital
Lab Director DR. MARK A. BENEDICT

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