46D1084194 CLIA NUMBER - SRS-WEBER VALLEY, LLC DBA SANDERLING DIALYSIS OF WEBER VALLEY

Laboratory Demographics

  • CLIA Code: 46D1084194
  • Facility Name: SRS-WEBER VALLEY, LLC DBA SANDERLING DIALYSIS OF WEBER VALLEY
  • Facility Address: 1920 WEST 250TH NORTH
    MARRIOTT, UT
    ZIP 84404
  • Facility Phone: 615 988-7881
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BRUCE L. HOROWITZ
  • NPI Number: 1568037786
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1084194
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SRS-WEBER VALLEY, LLC DBA SANDERLING DIALYSIS OF WEBER VALLEY
Street 1920 WEST 250TH NORTH
City MARRIOTT
State UT
ZIP 84404
Phone 615 988-7881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BRUCE L. HOROWITZ

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