46D2140286 CLIA NUMBER - MT NEBO DIALYSIS

Laboratory Demographics

  • CLIA Code: 46D2140286
  • Facility Name: MT NEBO DIALYSIS
  • Facility Address: 555 W STATE ROAD 164, STE 101
    SALEM, UT
    ZIP 84653
  • Facility Phone: 801 798-7903
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NESTOR E. ALMEIDA
  • NPI Number: 1992223556
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2140286
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MT NEBO DIALYSIS
Street 555 W STATE ROAD 164, STE 101
City SALEM
State UT
ZIP 84653
Phone 801 798-7903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NESTOR E. ALMEIDA

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