46D2101660 CLIA NUMBER - DEER HOLLOW RECOVERY

Laboratory Demographics

  • CLIA Code: 46D2101660
  • Facility Name: DEER HOLLOW RECOVERY
  • Facility Address: 1481 E PIONEER RD
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 679-6669
  • Facility Type: Other - RESIDENTIAL FACILITY
  • Facility Type: Waiver
  • Lab Director: ERICA A. PETERSON
  • NPI Number: 1821473224
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2101660
LAB Type Other - RESIDENTIAL FACILITY
Facility Name DEER HOLLOW RECOVERY
Street 1481 E PIONEER RD
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 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Other - RESIDENTIAL FACILITY
Lab Director ERICA A. PETERSON

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