46D2312120 CLIA NUMBER - TOOELE CLINIC CORP

Laboratory Demographics

  • CLIA Code: 46D2312120
  • Facility Name: TOOELE CLINIC CORP
  • Facility Address: 1929 N AARON DRIVE, SUITE L
    TOOELE, UT
    ZIP 84074
  • Facility Phone: 435 238-4318
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INGRID ACOSTA
  • NPI Number: 1073512364
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2312120
LAB Type Physician Office
Facility Name TOOELE CLINIC CORP
Street 1929 N AARON DRIVE, SUITE L
City TOOELE
State UT
ZIP 84074
Phone 435 238-4318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director INGRID ACOSTA

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