46D2075380 CLIA NUMBER - HEBER VALLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 46D2075380
  • Facility Name: HEBER VALLEY DIALYSIS CENTER
  • Facility Address: 380 E 1500 S SUITE 101
    HEBER CITY, UT
    ZIP 84032
  • Facility Phone: 435 657-4680
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANGIE OVARD
  • NPI Number: 1770962771
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2075380
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HEBER VALLEY DIALYSIS CENTER
Street 380 E 1500 S SUITE 101
City HEBER CITY
State UT
ZIP 84032
Phone 435 657-4680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANGIE OVARD

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