46D2090756 CLIA NUMBER - CASCADES AT RIVERWALK, THE

Laboratory Demographics

  • CLIA Code: 46D2090756
  • Facility Name: CASCADES AT RIVERWALK, THE
  • Facility Address: 1012 W JORDAN RIVER BLVD
    MIDVALE, UT
    ZIP 84047
  • Facility Phone: 801 565-0800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GLENDA TREVENEN
  • NPI Number: 1215344163
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2090756
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CASCADES AT RIVERWALK, THE
Street 1012 W JORDAN RIVER BLVD
City MIDVALE
State UT
ZIP 84047
Phone 801 565-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GLENDA TREVENEN

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