46D2177375 CLIA NUMBER - OREM DIALYSIS

Laboratory Demographics

  • CLIA Code: 46D2177375
  • Facility Name: OREM DIALYSIS
  • Facility Address: 490 S STATE ST
    OREM, UT
    ZIP 84058
  • Facility Phone: 385 314-3554
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TERRY HAMMOND
  • NPI Number: 1053956391
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2177375
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OREM DIALYSIS
Street 490 S STATE ST
City OREM
State UT
ZIP 84058
Phone 385 314-3554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TERRY HAMMOND

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