46D1006989 CLIA NUMBER - INTERMOUNTAIN HEALTHCARE SEVIER VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 46D1006989
  • Facility Name: INTERMOUNTAIN HEALTHCARE SEVIER VALLEY DIALYSIS
  • Facility Address: 1100 N MAIN
    RICHFIELD, UT
    ZIP 84701
  • Facility Phone: 435 893-0358
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LARRY CARLSON
  • NPI Number: 1366871410
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1006989
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INTERMOUNTAIN HEALTHCARE SEVIER VALLEY DIALYSIS
Street 1100 N MAIN
City RICHFIELD
State UT
ZIP 84701
Phone 435 893-0358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LARRY CARLSON

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