46D2190646 CLIA NUMBER - KOLOB CANYON RTC

Laboratory Demographics

  • CLIA Code: 46D2190646
  • Facility Name: KOLOB CANYON RTC
  • Facility Address: 1338 E 600 S
    NEW HARMONY, UT
    ZIP 84757
  • Facility Phone: 435 590-6881
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: CRAIG R. RODABOUGH
  • NPI Number: 1366574568
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2190646
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name KOLOB CANYON RTC
Street 1338 E 600 S
City NEW HARMONY
State UT
ZIP 84757
Phone 435 590-6881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director CRAIG R. RODABOUGH

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