46D2195508 CLIA NUMBER - MAPLE SPRINGS

Laboratory Demographics

  • CLIA Code: 46D2195508
  • Facility Name: MAPLE SPRINGS
  • Facility Address: 1040 SOUTH MEDICAL DRIVE
    BRIGHAM CITY, UT
    ZIP 84302
  • Facility Phone: 435 723-9100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIELLE S. RAWLS
  • NPI Number: 1841568128
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2195508
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE SPRINGS
Street 1040 SOUTH MEDICAL DRIVE
City BRIGHAM CITY
State UT
ZIP 84302
Phone 435 723-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANIELLE S. RAWLS

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