46D2120656 CLIA NUMBER - FRESENIUS KIDNEY CARE WEST SALT LAKE

Laboratory Demographics

  • CLIA Code: 46D2120656
  • Facility Name: FRESENIUS KIDNEY CARE WEST SALT LAKE
  • Facility Address: 4101 W PIONEER PKWY STE 101
    WEST VALLEY CITY, UT
    ZIP 84120
  • Facility Phone: 801 966-9978
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LANDON DICKSON
  • NPI Number: 1356897961
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2120656
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE WEST SALT LAKE
Street 4101 W PIONEER PKWY STE 101
City WEST VALLEY CITY
State UT
ZIP 84120
Phone 801 966-9978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LANDON DICKSON

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This page was last updated on: 6/4/2025