46D2182475 CLIA NUMBER - CACHE VALLEY CBOC

Laboratory Demographics

  • CLIA Code: 46D2182475
  • Facility Name: CACHE VALLEY CBOC
  • Facility Address: 2380 NORTH 400 EAST
    LOGAN, UT
    ZIP 84341
  • Facility Phone: 801 582-1565
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KANE WALSH
  • NPI Number: 1568996072
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 46D2182475
LAB Type Community Clinic
Facility Name CACHE VALLEY CBOC
Street 2380 NORTH 400 EAST
City LOGAN
State UT
ZIP 84341
Phone 801 582-1565
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 4/22/2020
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KANE WALSH

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