46D2132828 CLIA NUMBER - BRIGHTON HOUSE, LLC

Laboratory Demographics

CLIA Number: 46D2132828

Facility Name: BRIGHTON HOUSE, LLC

Facility Address:
4931 S 900 E
MURRAY, UT
ZIP 84117
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Facility Phone Number: 385 557-4316

Facility Type: Other - RESIDENTIAL RECOVER CENTE

Certificate Type: Waiver

NPI Number: 1528580180

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D2132828
LAB Type	Other - RESIDENTIAL RECOVER CENTE
Facility Name	BRIGHTON HOUSE, LLC
Street	4931 S 900 E
City	MURRAY
State	UT
ZIP	84117
Phone	385 557-4316
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024