46D0691479 CLIA NUMBER - LINDON CARE & TRAINING CENTER

Laboratory Demographics

CLIA Number: 46D0691479

Facility Name: LINDON CARE & TRAINING CENTER

Facility Address:
680 NORTH STATE
LINDON, UT
ZIP 84042
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Facility Phone Number: 801 785-2179

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1265431498

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	46D0691479
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	LINDON CARE & TRAINING CENTER
Street	680 NORTH STATE
City	LINDON
State	UT
ZIP	84042
Phone	801 785-2179
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024