46D0713592 CLIA NUMBER - INTERMOUNTAIN HEALTH LABORATORY SERVICES

Laboratory Demographics

CLIA Number: 46D0713592

Facility Name: INTERMOUNTAIN HEALTH LABORATORY SERVICES

Facility Address:
5152 COTTONWOOD STREET
MURRAY, UT
ZIP 84107
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Facility Phone Number: 801 507-2149

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Microscopy

NPI Number: 1164874343

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	46D0713592
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	INTERMOUNTAIN HEALTH LABORATORY SERVICES
Street	5152 COTTONWOOD STREET
City	MURRAY
State	UT
ZIP	84107
Phone	801 507-2149
CertificateType	3
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024