46D2320044 CLIA NUMBER - INTERMOUNTAIN HEALTH SALT LAKE CLINIC INSTACARE

Laboratory Demographics

  • CLIA Code: 46D2320044
  • Facility Name: INTERMOUNTAIN HEALTH SALT LAKE CLINIC INSTACARE
  • Facility Address: 389 SOUTH 900 EAST DEPT 72035
    SALT LAKE CITY, UT
    ZIP 84102
  • Facility Phone: 385 282-2400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PARK W. WILLIS
  • NPI Number: 1740499433
  • Taxonomy: 2080H0002X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D2320044
LAB Type Physician Office
Facility Name INTERMOUNTAIN HEALTH SALT LAKE CLINIC INSTACARE
Street 389 SOUTH 900 EAST DEPT 72035
City SALT LAKE CITY
State UT
ZIP 84102
Phone 385 282-2400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director PARK W. WILLIS

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