46D0713962 CLIA NUMBER - HOLLADAY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 46D0713962
  • Facility Name: HOLLADAY HEALTH CARE CENTER
  • Facility Address: 4782 S HOLLADAY BLVD
    SALT LAKE CITY, UT
    ZIP 84117
  • Facility Phone: 801 277-7002
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VIJAY MAIYA
  • NPI Number: 1891202859
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0713962
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLADAY HEALTH CARE CENTER
Street 4782 S HOLLADAY BLVD
City SALT LAKE CITY
State UT
ZIP 84117
Phone 801 277-7002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director VIJAY MAIYA

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