CLIA lab
CLIA 46D2120680: Intermountain Park City Mountain Medical Clinic
Park City, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2120680 belongs to Intermountain Park City Mountain Medical Clinic in Park City, UT.
Certificate of Waiver, effective October 21, 2026, expires October 20, 2028.
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 of Waiver
- Certificate effective
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2016
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D2120680
- Lab name
- Intermountain Park City Mountain Medical Clinic
- Address
- 1493 Lowell Ave, Park City, UT 84060
- Phone
- (435) 658-1205
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Park City, UT
- Apex Concierge MedicineCertificate of Waiver, Physician office46D2295392
- Docere ClinicsCertificate of Waiver, Physician office46D1012836
- Fresh Market Pharmacy #2307Certificate of Waiver, Pharmacy46D2017929
- Fresh Market Pharmacy #2365Certificate of Waiver, Pharmacy46D1031891
- Global Microsurgical Center of Park City, LLCCertificate of Waiver, Ambulatory surgery center46D2211560
- Intermountain Canyons ClinicCertificate of Waiver, Rural health clinic46D2031169
- Intermountain Health Park City Hospital LaboratoryCertificate of Accreditation, Hospital46D1050312
- Intermountain Mountain Family Health ClinicCertificate of Waiver, Physician office46D1088807
- Intermountain Park City InstacareCertificate of Compliance, Other46D0681306
- Intermountain Park City Specialty Mohs SurgeryCertificate of Compliance, Physician office46D2119558
Related
Questions
What is the CLIA number for Intermountain Park City Mountain Medical Clinic in Park City?
46D2120680, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermountain Park City Mountain Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2120680 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.