46D1089029 CLIA NUMBER - SRS-PAYSON, LLC DBA SRS-DIALYSIS OF PAYSON

Laboratory Demographics

  • CLIA Code: 46D1089029
  • Facility Name: SRS-PAYSON, LLC DBA SRS-DIALYSIS OF PAYSON
  • Facility Address: 15 SOUTH 1000 EAST SUITE 50
    PAYSON, UT
    ZIP 84651
  • Facility Phone: 615 988-7881
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IREL S. EPPICH
  • NPI Number: 1548835879
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D1089029
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SRS-PAYSON, LLC DBA SRS-DIALYSIS OF PAYSON
Street 15 SOUTH 1000 EAST SUITE 50
City PAYSON
State UT
ZIP 84651
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 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IREL S. EPPICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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