46D2163375 CLIA NUMBER - OXBOW ACADEMY

Laboratory Demographics

  • CLIA Code: 46D2163375
  • Facility Name: OXBOW ACADEMY
  • Facility Address: 11470 EAST 16000 NORTH PINECREEK ROAD
    MOUNT PLEASANT, UT
    ZIP 84647
  • Facility Phone: 801 491-2270
  • Facility Type: Other - YOUTH RES TREATMENT
  • Facility Type: Waiver
  • Lab Director: SHAWN BROOKS
  • NPI Number: 1215123567
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2163375
LAB Type Other - YOUTH RES TREATMENT
Facility Name OXBOW ACADEMY
Street 11470 EAST 16000 NORTH PINECREEK ROAD
City MOUNT PLEASANT
State UT
ZIP 84647
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 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Other - YOUTH RES TREATMENT
Lab Director SHAWN BROOKS

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