46D0953427 CLIA NUMBER - BOUNTIFUL DIALYSIS

Laboratory Demographics

  • CLIA Code: 46D0953427
  • Facility Name: BOUNTIFUL DIALYSIS
  • Facility Address: 532 S 500 W
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 299-3470
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT YENCHEK
  • NPI Number: 1508387564
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D0953427
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BOUNTIFUL DIALYSIS
Street 532 S 500 W
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 299-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROBERT YENCHEK

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