46D2008389 CLIA NUMBER - ELEVATIONS RTC

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Laboratory Demographics

CLIA Number: 46D2008389

Facility Name: ELEVATIONS RTC

Facility Address:
2650 W 2700 S
SYRACUSE, UT
ZIP 84075
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Facility Phone Number: 801 773-0200

Facility Type: Other - RESIDENTIAL TREATMENT CEN

Certificate Type: Waiver

NPI Number: 1740690452

Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	46D2008389
LAB Type	Other - RESIDENTIAL TREATMENT CEN
Facility Name	ELEVATIONS RTC
Street	2650 W 2700 S
City	SYRACUSE
State	UT
ZIP	84075
Phone	801 773-0200
CertificateType	4
CertificateEffectiveDate	6/9/2022
CertificateExpirationDate	6/8/2024
FacilityType	Waiver

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