46D2190755 CLIA NUMBER - BRISTOL PALLIATIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 46D2190755
  • Facility Name: BRISTOL PALLIATIVE CARE LLC
  • Facility Address: 1106 EAST 6600 SOUTH STE 100
    MURRAY, UT
    ZIP 84121
  • Facility Phone: 801 990-0360
  • Facility Type: Other - PALLIATIVE CARE
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD ALLEN MD
  • NPI Number: 1467930552
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2190755
LAB Type Other - PALLIATIVE CARE
Facility Name BRISTOL PALLIATIVE CARE LLC
Street 1106 EAST 6600 SOUTH STE 100
City MURRAY
State UT
ZIP 84121
Phone 801 990-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - PALLIATIVE CARE
Lab Director DR. RICHARD ALLEN MD

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