46D2086404 CLIA NUMBER - WASATCH CREST RECOVERY

Laboratory Demographics

  • CLIA Code: 46D2086404
  • Facility Name: WASATCH CREST RECOVERY
  • Facility Address: 425 MOULTON LANE
    HEBER CITY, UT
    ZIP 84032
  • Facility Phone: 385 218-8617
  • Facility Type: Other - DRUG & ALCOHOL RECOVERY
  • Facility Type: Waiver
  • Lab Director: DAN J. PETERSEN
  • NPI Number: 1528500592
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2086404
LAB Type Other - DRUG & ALCOHOL RECOVERY
Facility Name WASATCH CREST RECOVERY
Street 425 MOULTON LANE
City HEBER CITY
State UT
ZIP 84032
Phone 385 218-8617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Other - DRUG & ALCOHOL RECOVERY
Lab Director DAN J. PETERSEN

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