46D2196211 CLIA NUMBER - WILLIAMSBURG RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 46D2196211
  • Facility Name: WILLIAMSBURG RETIREMENT COMMUNITY
  • Facility Address: 132 W 300 N
    LOGAN, UT
    ZIP 84321
  • Facility Phone: 435 753-5502
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL M. HAMILTON
  • NPI Number: 1144463803
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2196211
LAB Type Assisted Living Facility
Facility Name WILLIAMSBURG RETIREMENT COMMUNITY
Street 132 W 300 N
City LOGAN
State UT
ZIP 84321
Phone 435 753-5502
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 DANIEL M. HAMILTON

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