46D2086125 CLIA NUMBER - ROCKY MOUNTAIN FOOT AND ANKLE, LLC

Laboratory Demographics

  • CLIA Code: 46D2086125
  • Facility Name: ROCKY MOUNTAIN FOOT AND ANKLE, LLC
  • Facility Address: 5801 SOUTH FASHION BLVD SUITE 120
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 261-1391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARK C. LARSEN
  • NPI Number: 1710217773
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2086125
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN FOOT AND ANKLE, LLC
Street 5801 SOUTH FASHION BLVD SUITE 120
City MURRAY
State UT
ZIP 84107
Phone 801 261-1391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director CLARK C. LARSEN

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