46D2196206 CLIA NUMBER - RAINTREE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 46D2196206
  • Facility Name: RAINTREE ASSISTED LIVING
  • Facility Address: 2063 W 1900 S
    SYRACUSE, UT
    ZIP 84075
  • Facility Phone: 801 621-8733
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH J. ROSE
  • NPI Number: 1750775235
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2196206
LAB Type Assisted Living Facility
Facility Name RAINTREE ASSISTED LIVING
Street 2063 W 1900 S
City SYRACUSE
State UT
ZIP 84075
Phone 801 621-8733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Assisted Living Facility
Lab Director ELIZABETH J. ROSE

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