46D2317041 CLIA NUMBER - INTERMOUNTAIN HEALTH OREM OB-GYN & NURSE MIDWIVES

Laboratory Demographics

  • CLIA Code: 46D2317041
  • Facility Name: INTERMOUNTAIN HEALTH OREM OB-GYN & NURSE MIDWIVES
  • Facility Address: 527 W 400 N
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 714-3341
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE DIVALL
  • NPI Number: 1316331523
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2317041
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEALTH OREM OB-GYN & NURSE MIDWIVES
Street 527 W 400 N
City OREM
State UT
ZIP 84057
Phone 801 714-3341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director LESLIE DIVALL

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