46D0720103 CLIA NUMBER - SPRING CREEK HEALTHCARE & REHAB

Laboratory Demographics

  • CLIA Code: 46D0720103
  • Facility Name: SPRING CREEK HEALTHCARE & REHAB
  • Facility Address: 4600 S HIGHLAND DR
    HOLLADAY, UT
    ZIP 84117
  • Facility Phone: 801 272-1892
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MIRJANA FETIC
  • NPI Number: 1598990699
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0720103
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPRING CREEK HEALTHCARE & REHAB
Street 4600 S HIGHLAND DR
City HOLLADAY
State UT
ZIP 84117
Phone 801 272-1892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MIRJANA FETIC

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