46D2314707 CLIA NUMBER - INTERMOUNTAIN CEDAR CITY ENDOCRINE AND DIABETES CLINIC

Laboratory Demographics

  • CLIA Code: 46D2314707
  • Facility Name: INTERMOUNTAIN CEDAR CITY ENDOCRINE AND DIABETES CLINIC
  • Facility Address: 1333 N MAIN STREET, SUITE 1
    CEDAR CITY, UT
    ZIP 84721
  • Facility Phone: 435 251-2888
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JACOB CORRY
  • NPI Number: 1922132828
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2314707
LAB Type Community Clinic
Facility Name INTERMOUNTAIN CEDAR CITY ENDOCRINE AND DIABETES CLINIC
Street 1333 N MAIN STREET, SUITE 1
City CEDAR CITY
State UT
ZIP 84721
Phone 435 251-2888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Community Clinic
Lab Director JACOB CORRY

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