46D2042225 CLIA NUMBER - INDEPENDENCE HOME HEALTH

Laboratory Demographics

  • CLIA Code: 46D2042225
  • Facility Name: INDEPENDENCE HOME HEALTH
  • Facility Address: 182 N UNION AVE STE E200
    FARMINGTON, UT
    ZIP 84025
  • Facility Phone: 801 298-1100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DANIEL D. FRASURE
  • NPI Number: 1851785919
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 46D2042225
LAB Type Home Health Agency
Facility Name INDEPENDENCE HOME HEALTH
Street 182 N UNION AVE STE E200
City FARMINGTON
State UT
ZIP 84025
Phone 801 298-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Home Health Agency
Lab Director DANIEL D. FRASURE

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This page was last updated on: 3/20/2025