46D2110615 CLIA NUMBER - ASHBY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 46D2110615
  • Facility Name: ASHBY HOSPICE, LLC
  • Facility Address: 11576 S STATE ST, SUITE 1202-B
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 478-2521
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHAWN D. VIERRA
  • NPI Number: 1558750067
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 46D2110615
LAB Type Hospice
Facility Name ASHBY HOSPICE, LLC
Street 11576 S STATE ST, SUITE 1202-B
City DRAPER
State UT
ZIP 84020
Phone 801 478-2521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Hospice
Lab Director SHAWN D. VIERRA

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