Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
46D2043483
|
|
Clinical laboratory number
|
|
Lab Name
|
UTAH TRAUMA AND ADDICTION CENTERS
|
|
Laboratory Name
|
|
Lab Type
|
Other - RESIDENTIAL TREATMENT
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
801-766-2233
|
|
Laboratory telephone number
|
|
Fax
|
801-766-1940
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2590 E PRAIRIE VEIW DRIVE
|
|
Primary location adress line
|
|
City
|
EAGLE MOUNTAIN
|
|
Primary location city name
|
|
State
|
UT
|
|
Primary location state name
|
|
Zip
|
84005
|
|
Primary location postal code
|