46D2189198 CLIA NUMBER - ALPINE MEADOW REHAB AND NURSING

Laboratory Demographics

  • CLIA Code: 46D2189198
  • Facility Name: ALPINE MEADOW REHAB AND NURSING
  • Facility Address: 2520 SOUTH REDWOOD ROAD
    WEST VALLEY CITY, UT
    ZIP 84119
  • Facility Phone: 801 972-1050
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KODI K. TORGERSON
  • NPI Number: 1942650148
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2189198
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALPINE MEADOW REHAB AND NURSING
Street 2520 SOUTH REDWOOD ROAD
City WEST VALLEY CITY
State UT
ZIP 84119
Phone 801 972-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KODI K. TORGERSON

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