46D2298562 CLIA NUMBER - GOOD SHEPHERD HOME CARE

Laboratory Demographics

  • CLIA Code: 46D2298562
  • Facility Name: GOOD SHEPHERD HOME CARE
  • Facility Address: 3584 WEST 9000 SOUTH, SUITE 300
    WEST JORDAN, UT
    ZIP 84088
  • Facility Phone: 801 277-6474
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANDRA RUST
  • NPI Number: 1457439705
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D2298562
LAB Type Home Health Agency
Facility Name GOOD SHEPHERD HOME CARE
Street 3584 WEST 9000 SOUTH, SUITE 300
City WEST JORDAN
State UT
ZIP 84088
Phone 801 277-6474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Home Health Agency
Lab Director SANDRA RUST

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This page was last updated on: 6/4/2025