CLIA lab
CLIA 46D0924658: Intermountain Liberty Elementary Family Practice
Slc, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D0924658 belongs to Intermountain Liberty Elementary Family Practice in Slc, UT.
Certificate for Provider-Performed Microscopy Procedures, effective February 15, 2025, expires February 14, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 1997
- Facility type
- Other
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D0924658
- Lab name
- Intermountain Liberty Elementary Family Practice
- Address
- 1078 South 300 East, Mailbox #3, Slc, UT 84111
- Phone
- (801) 408-3587
- Fax
- (801) 531-1815
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Intermountain Liberty Elementary Family Practice in Slc?
46D0924658, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermountain Liberty Elementary Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 46D0924658 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.