46D0660918 CLIA NUMBER - PROVO REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 46D0660918
  • Facility Name: PROVO REHABILITATION AND NURSING
  • Facility Address: 1001 N 500 W
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 377-9661
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AARON ANDERSON
  • NPI Number: 1912414996
  • Taxonomy: 225800000X - Recreation Therapist

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CLIA Record

Field Name Field Value
CLIA Number 46D0660918
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROVO REHABILITATION AND NURSING
Street 1001 N 500 W
City PROVO
State UT
ZIP 84604
Phone 801 377-9661
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 AARON ANDERSON

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