46D2135537 CLIA NUMBER - UTAH VALLEY KIDNEY CARE

Laboratory Demographics

  • CLIA Code: 46D2135537
  • Facility Name: UTAH VALLEY KIDNEY CARE
  • Facility Address: 121 SOUTH OREM BLVD #103
    OREM, UT
    ZIP 84058
  • Facility Phone: 801 225-4911
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER J. BOSEMAN
  • NPI Number: 1972628741
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 46D2135537
LAB Type Physician Office
Facility Name UTAH VALLEY KIDNEY CARE
Street 121 SOUTH OREM BLVD #103
City OREM
State UT
ZIP 84058
Phone 801 225-4911
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director PETER J. BOSEMAN

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