46D0525150 CLIA NUMBER - CRESTWOOD REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 46D0525150
  • Facility Name: CRESTWOOD REHABILITATION AND NURSING
  • Facility Address: 3665 BRINKER AVE
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 627-2273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ETHAN S. FEY
  • NPI Number: 1235587577
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0525150
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESTWOOD REHABILITATION AND NURSING
Street 3665 BRINKER AVE
City OGDEN
State UT
ZIP 84403
Phone 801 627-2273
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 ETHAN S. FEY

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