46D1014431 CLIA NUMBER - INTERMOUNTAIN HEALTH LOGAN INSTACARE

Laboratory Demographics

  • CLIA Code: 46D1014431
  • Facility Name: INTERMOUNTAIN HEALTH LOGAN INSTACARE
  • Facility Address: 412 N 200 E
    LOGAN, UT
    ZIP 84321
  • Facility Phone: 435 713-2777
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: MARC WANGSGARD
  • NPI Number: 1215057955
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1014431
LAB Type Community Clinic
Facility Name INTERMOUNTAIN HEALTH LOGAN INSTACARE
Street 412 N 200 E
City LOGAN
State UT
ZIP 84321
Phone 435 713-2777
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 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Community Clinic
Lab Director MARC WANGSGARD

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