46D1106040 CLIA NUMBER - INTERMOUNTAIN HEALTH RIVERTON HOSPITAL

Laboratory Demographics

  • CLIA Code: 46D1106040
  • Facility Name: INTERMOUNTAIN HEALTH RIVERTON HOSPITAL
  • Facility Address: 3741 WEST 12600 SOUTH
    RIVERTON, UT
    ZIP 84065
  • Facility Phone: 801 285-2250
  • Facility Type: Health Fair
  • Facility Type: Accreditation
  • Lab Director: DR. SARAH J. ILSTRUP
  • NPI Number: 1114378288
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1106040
LAB Type Health Fair
Facility Name INTERMOUNTAIN HEALTH RIVERTON HOSPITAL
Street 3741 WEST 12600 SOUTH
City RIVERTON
State UT
ZIP 84065
Phone 801 285-2250
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 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Health Fair
Lab Director DR. SARAH J. ILSTRUP

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