46D2053074 CLIA NUMBER - ALPINE RECOVERY LODGE

Laboratory Demographics

  • CLIA Code: 46D2053074
  • Facility Name: ALPINE RECOVERY LODGE
  • Facility Address: 1018 E OAKHILL DR
    ALPINE, UT
    ZIP 84004
  • Facility Phone: 877 415-4060
  • Facility Type: Other - SUBSTANCE ABUSE CENTER
  • Facility Type: Waiver
  • Lab Director: CINDY L. MILLAR
  • NPI Number: 1033452974
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2053074
LAB Type Other - SUBSTANCE ABUSE CENTER
Facility Name ALPINE RECOVERY LODGE
Street 1018 E OAKHILL DR
City ALPINE
State UT
ZIP 84004
Phone 877 415-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Other - SUBSTANCE ABUSE CENTER
Lab Director CINDY L. MILLAR

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