46D1100871 CLIA NUMBER - BLUE MOUNTAIN HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D1100871
  • Facility Name: BLUE MOUNTAIN HOSPITAL
  • Facility Address: 802 SOUTH 200 WEST SUITE A
    BLANDING, UT
    ZIP 84511
  • Facility Phone: 435 678-4631
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ALEX CUDKOWICZ
  • NPI Number: 1982922514
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 46D1100871
LAB Type Hospital
Facility Name BLUE MOUNTAIN HOSPITAL
Street 802 SOUTH 200 WEST SUITE A
City BLANDING
State UT
ZIP 84511
Phone 435 678-4631
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Hospital
Lab Director ALEX CUDKOWICZ

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