46D1080334 CLIA NUMBER - LIBERTY DIALYSIS - LAYTON

Laboratory Demographics

  • CLIA Code: 46D1080334
  • Facility Name: LIBERTY DIALYSIS - LAYTON
  • Facility Address: 2132 N 1700 W SUITE 120
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 779-6100
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. NELSON
  • NPI Number: 1841487881
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1080334
LAB Type Blood Bank
Facility Name LIBERTY DIALYSIS - LAYTON
Street 2132 N 1700 W SUITE 120
City LAYTON
State UT
ZIP 84041
Phone 801 779-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Blood Bank
Lab Director MICHELLE M. NELSON

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