46D0713633 CLIA NUMBER - BEAVER VALLEY HOSPITAL DBA THE TERRACE AT MT OGDEN

Laboratory Demographics

  • CLIA Code: 46D0713633
  • Facility Name: BEAVER VALLEY HOSPITAL DBA THE TERRACE AT MT OGDEN
  • Facility Address: 400 E 5350 S
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 479-9855
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASEY STELTER
  • NPI Number: 1235795972
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0713633
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BEAVER VALLEY HOSPITAL DBA THE TERRACE AT MT OGDEN
Street 400 E 5350 S
City OGDEN
State UT
ZIP 84405
Phone 801 479-9855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CASEY STELTER

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