46D1076342 CLIA NUMBER - LONE PEAK DIALYSIS

Laboratory Demographics

  • CLIA Code: 46D1076342
  • Facility Name: LONE PEAK DIALYSIS
  • Facility Address: 1175 EAST 50 SOUTH STE 111
    AMERICAN FORK, UT
    ZIP 84003
  • Facility Phone: 801 763-1304
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TERRY C. HAMMOND
  • NPI Number: 1306025499
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1076342
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LONE PEAK DIALYSIS
Street 1175 EAST 50 SOUTH STE 111
City AMERICAN FORK
State UT
ZIP 84003
Phone 801 763-1304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TERRY C. HAMMOND

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