46D0933298 CLIA NUMBER - INTERMOUNTAIN HEALTH HOME HEALTH-MT PLEASANT

Laboratory Demographics

  • CLIA Code: 46D0933298
  • Facility Name: INTERMOUNTAIN HEALTH HOME HEALTH-MT PLEASANT
  • Facility Address: 130 W MAIN STREET
    MOUNT PLEASANT, UT
    ZIP 84647
  • Facility Phone: 435 462-3431
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOMINIC MOORE
  • NPI Number: 1649345075
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D0933298
LAB Type Home Health Agency
Facility Name INTERMOUNTAIN HEALTH HOME HEALTH-MT PLEASANT
Street 130 W MAIN STREET
City MOUNT PLEASANT
State UT
ZIP 84647
Phone 435 462-3431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Home Health Agency
Lab Director DOMINIC MOORE

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