46D0660876 CLIA NUMBER - KOLFF DIALYSIS CTR

Laboratory Demographics

  • CLIA Code: 46D0660876
  • Facility Name: KOLFF DIALYSIS CTR
  • Facility Address: 423 S WAKARA WAY, STE 200
    SALT LAKE CITY, UT
    ZIP 84108
  • Facility Phone: 801 581-3981
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALFRED CHEUNG
  • NPI Number: 1750046686
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D0660876
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KOLFF DIALYSIS CTR
Street 423 S WAKARA WAY, STE 200
City SALT LAKE CITY
State UT
ZIP 84108
Phone 801 581-3981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALFRED CHEUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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