46D1030549 CLIA NUMBER - APPLEGATE HOSPICE - OGDEN

Laboratory Demographics

  • CLIA Code: 46D1030549
  • Facility Name: APPLEGATE HOSPICE - OGDEN
  • Facility Address: 1492 E RIDGELINE DR STE #1
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 589-9303
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WESLEY N. HANSEN
  • NPI Number: 1780272880
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D1030549
LAB Type Hospice
Facility Name APPLEGATE HOSPICE - OGDEN
Street 1492 E RIDGELINE DR STE #1
City OGDEN
State UT
ZIP 84405
Phone 801 589-9303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Hospice
Lab Director WESLEY N. HANSEN

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