Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
46D0916696
|
|
Clinical laboratory number
|
|
Lab Name
|
INTERMOUNTAIN SPINE INSTITUTE
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
801-314-2225
|
|
Laboratory telephone number
|
|
Fax
|
801-314-2345
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5770 S 250 E STE 135
|
|
Primary location adress line
|
|
City
|
SALT LAKE CITY
|
|
Primary location city name
|
|
State
|
UT
|
|
Primary location state name
|
|
Zip
|
84107
|
|
Primary location postal code
|