46D0676590 CLIA NUMBER - PARKDALE CARE CENTER

Laboratory Demographics

  • CLIA Code: 46D0676590
  • Facility Name: PARKDALE CARE CENTER
  • Facility Address: 250 EAST 600 NORTH
    PRICE, UT
    ZIP 84501
  • Facility Phone: 435 637-2621
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GEOFFREY A. PRUSAK
  • NPI Number: 1154629350
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0676590
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKDALE CARE CENTER
Street 250 EAST 600 NORTH
City PRICE
State UT
ZIP 84501
Phone 435 637-2621
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 GEOFFREY A. PRUSAK

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