46D2172316 CLIA NUMBER - BRISTOL HOSPICE-UTAH II, LLC

Laboratory Demographics

  • CLIA Code: 46D2172316
  • Facility Name: BRISTOL HOSPICE-UTAH II, LLC
  • Facility Address: 1106 EAST 6600 SOUTH
    MURRAY, UT
    ZIP 84121
  • Facility Phone: 801 930-5266
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RICH ALLEN
  • NPI Number: 1619253606
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 46D2172316
LAB Type Hospice
Facility Name BRISTOL HOSPICE-UTAH II, LLC
Street 1106 EAST 6600 SOUTH
City MURRAY
State UT
ZIP 84121
Phone 801 930-5266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Hospice
Lab Director RICH ALLEN

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