46D0935107 CLIA NUMBER - INTERNAL MEDICINE AT ST MARKS HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D0935107
  • Facility Name: INTERNAL MEDICINE AT ST MARKS HOSPITAL
  • Facility Address: 1160 E 3900 S #1200
    SALT LAKE CITY, UT
    ZIP 84124
  • Facility Phone: 801 261-9651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELLY M. CARVER
  • NPI Number: 1396761193
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0935107
LAB Type Physician Office
Facility Name INTERNAL MEDICINE AT ST MARKS HOSPITAL
Street 1160 E 3900 S #1200
City SALT LAKE CITY
State UT
ZIP 84124
Phone 801 261-9651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director SHELLY M. CARVER

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