46D2159321 CLIA NUMBER - RED CIRCLE LODGE, INC

Laboratory Demographics

  • CLIA Code: 46D2159321
  • Facility Name: RED CIRCLE LODGE, INC
  • Facility Address: 930 N MEMORIAL ST #1670
    HILDALE, UT
    ZIP 84784
  • Facility Phone: 435 668-8809
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: AEIRN M. DOCKSTADER
  • NPI Number: 1083107320
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2159321
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name RED CIRCLE LODGE, INC
Street 930 N MEMORIAL ST #1670
City HILDALE
State UT
ZIP 84784
Phone 435 668-8809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director AEIRN M. DOCKSTADER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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