46D0973937 CLIA NUMBER - STEP MOUNTAIN MEDICAL, INC

Laboratory Demographics

  • CLIA Code: 46D0973937
  • Facility Name: STEP MOUNTAIN MEDICAL, INC
  • Facility Address: 133352 S 5600 W
    HERRIMAN, UT
    ZIP 84096
  • Facility Phone: 801 446-2760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRT W. LARSON
  • NPI Number: 1619196771
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0973937
LAB Type Physician Office
Facility Name STEP MOUNTAIN MEDICAL, INC
Street 133352 S 5600 W
City HERRIMAN
State UT
ZIP 84096
Phone 801 446-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director KIRT W. LARSON

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