46D1083808 CLIA NUMBER - PROJECT REALITY

Laboratory Demographics

CLIA Number: 46D1083808

Facility Name: PROJECT REALITY

Facility Address:
156 E 700 S
SALT LAKE CITY, UT
ZIP 84111
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Facility Phone Number: 801 364-8080

Facility Type: Other - DRUG SCREENING LAB

Certificate Type: Waiver

NPI Number: 1134211626

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	46D1083808
LAB Type	Other - DRUG SCREENING LAB
Facility Name	PROJECT REALITY
Street	156 E 700 S
City	SALT LAKE CITY
State	UT
ZIP	84111
Phone	801 364-8080
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024