46D2071010 CLIA NUMBER - EAGLE RANCH ACADEMY

Laboratory Demographics

  • CLIA Code: 46D2071010
  • Facility Name: EAGLE RANCH ACADEMY
  • Facility Address: 115 WEST 1470 S
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 652-8488
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: JOY A. WEIPPERT
  • NPI Number: 1003014648
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2071010
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name EAGLE RANCH ACADEMY
Street 115 WEST 1470 S
City ST GEORGE
State UT
ZIP 84770
Phone 435 652-8488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director JOY A. WEIPPERT

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