46D2175504 CLIA NUMBER - MILLCREEK REHAB AND NURSING

Laboratory Demographics

  • CLIA Code: 46D2175504
  • Facility Name: MILLCREEK REHAB AND NURSING
  • Facility Address: 3520 SOUTH HIGHLAND DRIVE
    SALT LAKE CITY, UT
    ZIP 84106
  • Facility Phone: 801 484-7638
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KODI TORGERSON
  • NPI Number: 1023480225
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2175504
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLCREEK REHAB AND NURSING
Street 3520 SOUTH HIGHLAND DRIVE
City SALT LAKE CITY
State UT
ZIP 84106
Phone 801 484-7638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KODI TORGERSON

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