46D2035285 CLIA NUMBER - WILLOW TREE RECOVERY

Laboratory Demographics

  • CLIA Code: 46D2035285
  • Facility Name: WILLOW TREE RECOVERY
  • Facility Address: 145 SO 1300 WEST
    PLEASANT GROVE, UT
    ZIP 84062
  • Facility Phone: 801 785-9400
  • Facility Type: Other - INPATIENT DRUG REHAB
  • Facility Type: Waiver
  • Lab Director: DERRY L. BRINLEY
  • NPI Number: 1730456963
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2035285
LAB Type Other - INPATIENT DRUG REHAB
Facility Name WILLOW TREE RECOVERY
Street 145 SO 1300 WEST
City PLEASANT GROVE
State UT
ZIP 84062
Phone 801 785-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other - INPATIENT DRUG REHAB
Lab Director DERRY L. BRINLEY

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