46D2138225 CLIA NUMBER - FRESENIUS KIDNEY CARE UTAH VALLEY

Laboratory Demographics

CLIA Number: 46D2138225

Facility Name: FRESENIUS KIDNEY CARE UTAH VALLEY

Facility Address:
121 SOUTH OREM BLVD, SUITE #101
OREM, UT
ZIP 84058
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Facility Phone Number: 801 802-3852

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831627223

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D2138225
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE UTAH VALLEY
Street	121 SOUTH OREM BLVD, SUITE #101
City	OREM
State	UT
ZIP	84058
Phone	801 802-3852
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024