46D0660849 CLIA NUMBER - SANDY DIALYSIS

Laboratory Demographics

CLIA Number: 46D0660849

Facility Name: SANDY DIALYSIS

Facility Address:
8750 S SANDY PARKWAY
SANDY, UT
ZIP 84070
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Facility Phone Number: 801 233-8745

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1477216885

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D0660849
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SANDY DIALYSIS
Street	8750 S SANDY PARKWAY
City	SANDY
State	UT
ZIP	84070
Phone	801 233-8745
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024