46D0524746 CLIA NUMBER - MONUMENT HEALTHCARE PIONEER TRAIL

Laboratory Demographics

  • CLIA Code: 46D0524746
  • Facility Name: MONUMENT HEALTHCARE PIONEER TRAIL
  • Facility Address: 815 S 200 W
    BRIGHAM CITY, UT
    ZIP 84302
  • Facility Phone: (435) 723-5289
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD ANDERSON

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CLIA Record

Field Name Field Value
CLIA Number 46D0524746
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONUMENT HEALTHCARE PIONEER TRAIL
Street 815 S 200 W
City BRIGHAM CITY
State UT
ZIP 84302
Phone 4357235289
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 RICHARD ANDERSON

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This page was last updated on: 6/29/2026