46D0858538 CLIA NUMBER - COPPER RIDGE HEALTH CARE

Laboratory Demographics

  • CLIA Code: 46D0858538
  • Facility Name: COPPER RIDGE HEALTH CARE
  • Facility Address: 3706 W 9000 S
    WEST JORDAN, UT
    ZIP 84088
  • Facility Phone: (801) 280-2273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FATIMA GANGOTENA-BERNARD
  • NPI Number: 1235682519
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0858538
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COPPER RIDGE HEALTH CARE
Street 3706 W 9000 S
City WEST JORDAN
State UT
ZIP 84088
Phone 8012802273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FATIMA GANGOTENA-BERNARD

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This page was last updated on: 5/18/2026