46D2098930 CLIA NUMBER - DEER HOLLOW - MOUNTAINSIDE

Laboratory Demographics

  • CLIA Code: 46D2098930
  • Facility Name: DEER HOLLOW - MOUNTAINSIDE
  • Facility Address: 1601 EAST 13200 SOUTH
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 679-6669
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: ERICA AGLIANO
  • NPI Number: 1336577063
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2098930
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name DEER HOLLOW - MOUNTAINSIDE
Street 1601 EAST 13200 SOUTH
City DRAPER
State UT
ZIP 84020
Phone 801 679-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director ERICA AGLIANO

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