46D2121957 CLIA NUMBER - PINNACLE RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 46D2121957
  • Facility Name: PINNACLE RECOVERY CENTER
  • Facility Address: 6196 S HOLLADAY BLVD
    HOLLADAY, UT
    ZIP 84121
  • Facility Phone: 385 216-4192
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: KAMILE WEISCHEDEL
  • NPI Number: 1376725515
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 46D2121957
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name PINNACLE RECOVERY CENTER
Street 6196 S HOLLADAY BLVD
City HOLLADAY
State UT
ZIP 84121
Phone 385 216-4192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director KAMILE WEISCHEDEL

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