46D2054950 CLIA NUMBER - NEURORESTORATIVE UTAH

Laboratory Demographics

  • CLIA Code: 46D2054950
  • Facility Name: NEURORESTORATIVE UTAH
  • Facility Address: 13747 S REDWOOD ROAD
    RIVERTON, UT
    ZIP 84065
  • Facility Phone: (801) 417-9400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK L. MARTINEZ
  • NPI Number: 1609306091
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2054950
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEURORESTORATIVE UTAH
Street 13747 S REDWOOD ROAD
City RIVERTON
State UT
ZIP 84065
Phone 8014179400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK L. MARTINEZ

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This page was last updated on: 5/18/2026