46D2211247 CLIA NUMBER - UNIVERSITY OF UTAH EPIDEMIOLOGY GREATER INTERMOUNTAIN NODE

Laboratory Demographics

  • CLIA Code: 46D2211247
  • Facility Name: UNIVERSITY OF UTAH EPIDEMIOLOGY GREATER INTERMOUNTAIN NODE
  • Facility Address: 383 COLOROW WAY, MAILBOX 16
    SALT LAKE CITY, UT
    ZIP 84108
  • Facility Phone: 801 213-0806
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: GERALD COCHRAN
  • NPI Number: 1023051166
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D2211247
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UNIVERSITY OF UTAH EPIDEMIOLOGY GREATER INTERMOUNTAIN NODE
Street 383 COLOROW WAY, MAILBOX 16
City SALT LAKE CITY
State UT
ZIP 84108
Phone 801 213-0806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director GERALD COCHRAN

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