46D2316503 CLIA NUMBER - GRANGER MEDICAL CLINIC PAIN AND SPINE COTTONWOOD HEIGHTS

Laboratory Demographics

  • CLIA Code: 46D2316503
  • Facility Name: GRANGER MEDICAL CLINIC PAIN AND SPINE COTTONWOOD HEIGHTS
  • Facility Address: 6322 S 3000 E, STE 100
    SALT LAKE CITY, UT
    ZIP 84121
  • Facility Phone: (801) 569-5547
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEETA NAGPAL
  • NPI Number: 1629163746
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2316503
LAB Type Physician Office
Facility Name GRANGER MEDICAL CLINIC PAIN AND SPINE COTTONWOOD HEIGHTS
Street 6322 S 3000 E, STE 100
City SALT LAKE CITY
State UT
ZIP 84121
Phone 8015695547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director GEETA NAGPAL

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This page was last updated on: 6/29/2026