46D1020815 CLIA NUMBER - PINE VIEW TRANSITIONAL REHAB

Laboratory Demographics

  • CLIA Code: 46D1020815
  • Facility Name: PINE VIEW TRANSITIONAL REHAB
  • Facility Address: 1497 E SKYLINE DR
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 698-6979
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS L. SHERMAN
  • NPI Number: 1700822707
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D1020815
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VIEW TRANSITIONAL REHAB
Street 1497 E SKYLINE DR
City OGDEN
State UT
ZIP 84405
Phone 801 698-6979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director THOMAS L. SHERMAN

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