46D2056097 CLIA NUMBER - AVALON CARE CENTER - VA PAYSON, LLC

Laboratory Demographics

  • CLIA Code: 46D2056097
  • Facility Name: AVALON CARE CENTER - VA PAYSON, LLC
  • Facility Address: 1551 N MAIN STREET
    PAYSON, UT
    ZIP 84651
  • Facility Phone: 801 465-5400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA NEWBY
  • NPI Number: 1205177722
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2056097
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVALON CARE CENTER - VA PAYSON, LLC
Street 1551 N MAIN STREET
City PAYSON
State UT
ZIP 84651
Phone 801 465-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOSHUA NEWBY

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