46D0951637 CLIA NUMBER - SORENSON'S RANCH SCHOOL

Laboratory Demographics

  • CLIA Code: 46D0951637
  • Facility Name: SORENSON'S RANCH SCHOOL
  • Facility Address: 410 N 100 E
    KOOSHAREM, UT
    ZIP 84744
  • Facility Phone: 435 638-7318
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: LELAND J. CHAPPELL
  • NPI Number: 1013991256
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0951637
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name SORENSON'S RANCH SCHOOL
Street 410 N 100 E
City KOOSHAREM
State UT
ZIP 84744
Phone 435 638-7318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director LELAND J. CHAPPELL

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