46D2022083 CLIA NUMBER - IVY LANE PEDIATRICS DBA AMAZING CARE HOME HEALTH

Laboratory Demographics

  • CLIA Code: 46D2022083
  • Facility Name: IVY LANE PEDIATRICS DBA AMAZING CARE HOME HEALTH
  • Facility Address: 5974 FASHION POINT DR, SUITE 230
    SOUTH OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 774-9698
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KATHERINE REID
  • NPI Number: 1083635692
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D2022083
LAB Type Home Health Agency
Facility Name IVY LANE PEDIATRICS DBA AMAZING CARE HOME HEALTH
Street 5974 FASHION POINT DR, SUITE 230
City SOUTH OGDEN
State UT
ZIP 84403
Phone 801 774-9698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Home Health Agency
Lab Director KATHERINE REID

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