46D2197409 CLIA NUMBER - EVA CARLSTON ACADEMY

Laboratory Demographics

CLIA Code: 46D2197409
Facility Name: EVA CARLSTON ACADEMY
Facility Address: 4943 S WASATCH BLVD
SALT LAKE CITY, UT
ZIP 84124
Facility Phone: 801 718-0132
Facility Type: Other - RESIDENTIAL TREATMENT CEN
Facility Type: Waiver
Lab Director: MS. KRISTI R. RAGSDALE
NPI Number: 1427330968
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	46D2197409
LAB Type	Other - RESIDENTIAL TREATMENT CEN
Facility Name	EVA CARLSTON ACADEMY
Street	4943 S WASATCH BLVD
City	SALT LAKE CITY
State	UT
ZIP	84124
Phone	801 718-0132
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/23/2024
Certificate Expiration Date	10/22/2026
Facility Type	Other - RESIDENTIAL TREATMENT CEN
Lab Director	MS. KRISTI R. RAGSDALE

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