46D2196705 CLIA NUMBER - CHANCELLOR GARDENS AT CLEARFIELD

Laboratory Demographics

  • CLIA Code: 46D2196705
  • Facility Name: CHANCELLOR GARDENS AT CLEARFIELD
  • Facility Address: 1425 S 1500 E
    CLEARFIELD, UT
    ZIP 84015
  • Facility Phone: 360 456-3477
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RYAN JENSEN
  • NPI Number: 1144397423
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2196705
LAB Type Assisted Living Facility
Facility Name CHANCELLOR GARDENS AT CLEARFIELD
Street 1425 S 1500 E
City CLEARFIELD
State UT
ZIP 84015
Phone 360 456-3477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Assisted Living Facility
Lab Director RYAN JENSEN

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