46D0677100 CLIA NUMBER - HERITAGE PARK HEALTHCARE AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 46D0677100
  • Facility Name: HERITAGE PARK HEALTHCARE AND REHABILITATION
  • Facility Address: 2700 WEST 5600 SOUTH
    ROY, UT
    ZIP 84067
  • Facility Phone: 801 825-9731
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASEY STELTER
  • NPI Number: 1235645300
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0677100
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE PARK HEALTHCARE AND REHABILITATION
Street 2700 WEST 5600 SOUTH
City ROY
State UT
ZIP 84067
Phone 801 825-9731
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 CASEY STELTER

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