46D0938517 CLIA NUMBER - NORTH CACHE VALLEY CLINIC - INSTACARE

Laboratory Demographics

  • CLIA Code: 46D0938517
  • Facility Name: NORTH CACHE VALLEY CLINIC - INSTACARE
  • Facility Address: 4088 N HIGHWAY 91
    HYDE PARK, UT
    ZIP 84318
  • Facility Phone: 435 563-4888
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: MARC WANGSGARD
  • NPI Number: 1740324581
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0938517
LAB Type Community Clinic
Facility Name NORTH CACHE VALLEY CLINIC - INSTACARE
Street 4088 N HIGHWAY 91
City HYDE PARK
State UT
ZIP 84318
Phone 435 563-4888
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 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Community Clinic
Lab Director MARC WANGSGARD

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