46D1010925 CLIA NUMBER - CAREGIVER SUPPORT NETWORK

Laboratory Demographics

  • CLIA Code: 46D1010925
  • Facility Name: CAREGIVER SUPPORT NETWORK
  • Facility Address: 404 EAST 4500 SOUTH, SUITE A24
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 747-2100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOLEEN F. HUBER RN
  • NPI Number: 1083610869
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D1010925
LAB Type Home Health Agency
Facility Name CAREGIVER SUPPORT NETWORK
Street 404 EAST 4500 SOUTH, SUITE A24
City MURRAY
State UT
ZIP 84107
Phone 801 747-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director JOLEEN F. HUBER RN

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