46D2204317 CLIA NUMBER - SPLIT MOUNTAIN YOUTH CENTER

Laboratory Demographics

  • CLIA Code: 46D2204317
  • Facility Name: SPLIT MOUNTAIN YOUTH CENTER
  • Facility Address: 930 E MAIN STREET
    VERNAL, UT
    ZIP 84078
  • Facility Phone: 435 789-2045
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LYNN WHITMAN
  • NPI Number: 1588272934
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 46D2204317
LAB Type School/Student Health Service
Facility Name SPLIT MOUNTAIN YOUTH CENTER
Street 930 E MAIN STREET
City VERNAL
State UT
ZIP 84078
Phone 435 789-2045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type School/Student Health Service
Lab Director LYNN WHITMAN

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