46D2163067 CLIA NUMBER - DISCOVERY RANCH SOUTH

Laboratory Demographics

  • CLIA Code: 46D2163067
  • Facility Name: DISCOVERY RANCH SOUTH
  • Facility Address: 4928 N 4500 W
    CEDAR CITY, UT
    ZIP 84721
  • Facility Phone: 801 491-2270
  • Facility Type: Other - YOUTH RES TREATMENT
  • Facility Type: Waiver
  • Lab Director: ANDREA BURGESS
  • NPI Number: 1508207630
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2163067
LAB Type Other - YOUTH RES TREATMENT
Facility Name DISCOVERY RANCH SOUTH
Street 4928 N 4500 W
City CEDAR CITY
State UT
ZIP 84721
Phone 801 491-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Other - YOUTH RES TREATMENT
Lab Director ANDREA BURGESS

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