46D1095612 CLIA NUMBER - COTTONWOOD MEDICAL CLINIC - INSTACARE/KIDSCARE

Laboratory Demographics

  • CLIA Code: 46D1095612
  • Facility Name: COTTONWOOD MEDICAL CLINIC - INSTACARE/KIDSCARE
  • Facility Address: 181 EAST MEDICAL TOWER DRIVE
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 314-7700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PARK W. WILLIS
  • NPI Number: 1194822080
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 46D1095612
LAB Type Physician Office
Facility Name COTTONWOOD MEDICAL CLINIC - INSTACARE/KIDSCARE
Street 181 EAST MEDICAL TOWER DRIVE
City MURRAY
State UT
ZIP 84107
Phone 801 314-7700
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 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director PARK W. WILLIS

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