46D0524371 CLIA NUMBER - SANDSTONE SOUTH LAKE

Laboratory Demographics

  • CLIA Code: 46D0524371
  • Facility Name: SANDSTONE SOUTH LAKE
  • Facility Address: 2472 S 300 E
    SALT LAKE CITY, UT
    ZIP 84115
  • Facility Phone: 801 466-2211
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTT BLAKLEY
  • NPI Number: 1700870896
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0524371
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SANDSTONE SOUTH LAKE
Street 2472 S 300 E
City SALT LAKE CITY
State UT
ZIP 84115
Phone 801 466-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTT BLAKLEY

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