46D2098529 CLIA NUMBER - LITTLE COTTONWOOD REHAB & NURSING

Laboratory Demographics

  • CLIA Code: 46D2098529
  • Facility Name: LITTLE COTTONWOOD REHAB & NURSING
  • Facility Address: 3094 SOUTH STATE STREET
    S SALT LAKE, UT
    ZIP 84115
  • Facility Phone: 801 485-9007
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WALTER E. MYERS
  • NPI Number: 1659709061
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2098529
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LITTLE COTTONWOOD REHAB & NURSING
Street 3094 SOUTH STATE STREET
City S SALT LAKE
State UT
ZIP 84115
Phone 801 485-9007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WALTER E. MYERS

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