46D0998570 CLIA NUMBER - FRESENIUS KIDNEY CARE OQUIRRH

Laboratory Demographics

CLIA Number: 46D0998570

Facility Name: FRESENIUS KIDNEY CARE OQUIRRH

Facility Address:
5320 SOUTH 2700 WEST
TAYLORSVILLE, UT
ZIP 84129
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Facility Phone Number: 801 982-9726

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1467492892

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D0998570
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE OQUIRRH
Street	5320 SOUTH 2700 WEST
City	TAYLORSVILLE
State	UT
ZIP	84129
Phone	801 982-9726
CertificateType	4
CertificateEffectiveDate	4/18/2024
CertificateExpirationDate	4/17/2026
FacilityType	Waiver

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