46D2116932 CLIA NUMBER - MAPLE SPRINGS MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 46D2116932
  • Facility Name: MAPLE SPRINGS MANAGEMENT, LLC
  • Facility Address: 350 EAST 2200 NORTH
    NORTH LOGAN, UT
    ZIP 84341
  • Facility Phone: (435) 753-9400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS A. LARSEN
  • NPI Number: 1366997819
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2116932
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE SPRINGS MANAGEMENT, LLC
Street 350 EAST 2200 NORTH
City NORTH LOGAN
State UT
ZIP 84341
Phone 4357539400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NICHOLAS A. LARSEN

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This page was last updated on: 5/18/2026