46D0947450 CLIA NUMBER - WILLIAM E CHRISTOFFERSEN SALT LAKE VETERANS HOME

Laboratory Demographics

  • CLIA Code: 46D0947450
  • Facility Name: WILLIAM E CHRISTOFFERSEN SALT LAKE VETERANS HOME
  • Facility Address: 700 FOOTHILL BLVD
    SALT LAKE CITY, UT
    ZIP 84113
  • Facility Phone: 801 584-1900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA BRAEGGER
  • NPI Number: 1265522858
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 46D0947450
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLIAM E CHRISTOFFERSEN SALT LAKE VETERANS HOME
Street 700 FOOTHILL BLVD
City SALT LAKE CITY
State UT
ZIP 84113
Phone 801 584-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELA BRAEGGER

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