46D1094311 CLIA NUMBER - HOSPICE FOR UTAH

Laboratory Demographics

  • CLIA Code: 46D1094311
  • Facility Name: HOSPICE FOR UTAH
  • Facility Address: 152 W BURTON AVE, STE F
    SALT LAKE CITY, UT
    ZIP 84115
  • Facility Phone: 801 576-1455
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAURA LADLE
  • NPI Number: 1013900661
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 46D1094311
LAB Type Hospice
Facility Name HOSPICE FOR UTAH
Street 152 W BURTON AVE, STE F
City SALT LAKE CITY
State UT
ZIP 84115
Phone 801 576-1455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Hospice
Lab Director LAURA LADLE

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