46D1042898 CLIA NUMBER - INTERMOUNTAIN UROLOGICAL INSTITUTE-CEDAR CITY

Laboratory Demographics

  • CLIA Code: 46D1042898
  • Facility Name: INTERMOUNTAIN UROLOGICAL INSTITUTE-CEDAR CITY
  • Facility Address: 166 W 1325 N STE 350
    CEDAR CITY, UT
    ZIP 84721
  • Facility Phone: 435 586-8192
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. ADAMS
  • NPI Number: 1194811752
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 46D1042898
LAB Type Physician Office
Facility Name INTERMOUNTAIN UROLOGICAL INSTITUTE-CEDAR CITY
Street 166 W 1325 N STE 350
City CEDAR CITY
State UT
ZIP 84721
Phone 435 586-8192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Physician Office
Lab Director DAVID M. ADAMS

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