46D2199975 CLIA NUMBER - LAKE RIDGE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 46D2199975
  • Facility Name: LAKE RIDGE SENIOR LIVING
  • Facility Address: 960 SOUTH GENEVA ROAD
    OREM, UT
    ZIP 84058
  • Facility Phone: 801 225-6559
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATHAN JONES
  • NPI Number: 1376983312
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2199975
LAB Type Assisted Living Facility
Facility Name LAKE RIDGE SENIOR LIVING
Street 960 SOUTH GENEVA ROAD
City OREM
State UT
ZIP 84058
Phone 801 225-6559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Assisted Living Facility
Lab Director NATHAN JONES

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