46D2043483 CLIA NUMBER - INNER-VENTION BEHAVIORAL HEALTH, LLC

Home > CLIA Lookup > 46D2043483

Laboratory Demographics

CLIA Number: 46D2043483

Facility Name: INNER-VENTION BEHAVIORAL HEALTH, LLC

Facility Address:
2590 E PRAIRIE VEIW DRIVE
EAGLE MOUNTAIN, UT
ZIP 84005
Get Directions

Facility Phone Number: 801 502-5408

Facility Type: Other - RESIDENTIAL TREATMENT

Certificate Type: Waiver

NPI Number: 1609130418

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	46D2043483
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	INNER-VENTION BEHAVIORAL HEALTH, LLC
Street	2590 E PRAIRIE VEIW DRIVE
City	EAGLE MOUNTAIN
State	UT
ZIP	84005
Phone	801 502-5408
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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