46D0965948 CLIA NUMBER - STONEHENGE OF SPRINGVILLE

Laboratory Demographics

  • CLIA Code: 46D0965948
  • Facility Name: STONEHENGE OF SPRINGVILLE
  • Facility Address: 909 WEST 450 SOUTH
    SPRINGVILLE, UT
    ZIP 84663
  • Facility Phone: 801 489-1900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GEOFFREY A. PRUSAK
  • NPI Number: 1063401750
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D0965948
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STONEHENGE OF SPRINGVILLE
Street 909 WEST 450 SOUTH
City SPRINGVILLE
State UT
ZIP 84663
Phone 801 489-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GEOFFREY A. PRUSAK

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