46D2074563 CLIA NUMBER - MAPLE MOUNTAIN RECOVERY

Laboratory Demographics

  • CLIA Code: 46D2074563
  • Facility Name: MAPLE MOUNTAIN RECOVERY
  • Facility Address: 727 EAST 1100 SOUTH
    MAPLETON, UT
    ZIP 84664
  • Facility Phone: 801 489-9871
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: GEORGE HARPER
  • NPI Number: 1174948079
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2074563
LAB Type Independent
Facility Name MAPLE MOUNTAIN RECOVERY
Street 727 EAST 1100 SOUTH
City MAPLETON
State UT
ZIP 84664
Phone 801 489-9871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Independent
Lab Director GEORGE HARPER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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