46D2039588 CLIA NUMBER - INTERMOUNTAIN CYSTIC FIBROSIS CENTER AT THE U OF U

Laboratory Demographics

  • CLIA Code: 46D2039588
  • Facility Name: INTERMOUNTAIN CYSTIC FIBROSIS CENTER AT THE U OF U
  • Facility Address: 701 WINTROBE BLDG 26 N 1900 E 50 N MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84132
  • Facility Phone: 801 587-7458
  • Facility Type: Other - RESEARCH
  • Facility Type: Waiver
  • Lab Director: THEODORE G. LIOU
  • NPI Number: 1235238379
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2039588
LAB Type Other - RESEARCH
Facility Name INTERMOUNTAIN CYSTIC FIBROSIS CENTER AT THE U OF U
Street 701 WINTROBE BLDG 26 N 1900 E 50 N MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
ZIP 84132
Phone 801 587-7458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Other - RESEARCH
Lab Director THEODORE G. LIOU

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