46D0936166 CLIA NUMBER - INTERMOUNTAIN GARFIELD MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D0936166
  • Facility Name: INTERMOUNTAIN GARFIELD MEMORIAL CLINIC
  • Facility Address: 200 N 400 E
    PANGUITCH, UT
    ZIP 84759
  • Facility Phone: (435) 676-8842
  • Facility Type: Other - NONPROFIT
  • Facility Type: Microscopy
  • Lab Director: MITCHELL MILLER

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CLIA Record

Field Name Field Value
CLIA Number 46D0936166
LAB Type Other - NONPROFIT
Facility Name INTERMOUNTAIN GARFIELD MEMORIAL CLINIC
Street 200 N 400 E
City PANGUITCH
State UT
ZIP 84759
Phone 4356768842
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2025
Certificate Expiration Date 11/16/2027
Facility Type Other - NONPROFIT
Lab Director MITCHELL MILLER

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This page was last updated on: 5/18/2026