46D0909471 CLIA NUMBER - INTERMOUNTAIN MERRILL GAPPMAYER FAMILY MED CLINIC

Laboratory Demographics

  • CLIA Code: 46D0909471
  • Facility Name: INTERMOUNTAIN MERRILL GAPPMAYER FAMILY MED CLINIC
  • Facility Address: 475 W 940 N
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 357-1770
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT MEHL
  • NPI Number: 1396982203
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0909471
LAB Type Physician Office
Facility Name INTERMOUNTAIN MERRILL GAPPMAYER FAMILY MED CLINIC
Street 475 W 940 N
City PROVO
State UT
ZIP 84604
Phone 801 357-1770
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 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director ROBERT MEHL

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