46D2209388 CLIA NUMBER - BRIDGE HOUSE, LLC

Laboratory Demographics

  • CLIA Code: 46D2209388
  • Facility Name: BRIDGE HOUSE, LLC
  • Facility Address: 235 SOUTH 200 EAST
    FARMINGTON, UT
    ZIP 84025
  • Facility Phone: 801 528-8124
  • Facility Type: Other - BEHAVIORAL HEALTH RES
  • Facility Type: Waiver
  • Lab Director: CYNTHIA M. BYERLY
  • NPI Number: 1174051072
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2209388
LAB Type Other - BEHAVIORAL HEALTH RES
Facility Name BRIDGE HOUSE, LLC
Street 235 SOUTH 200 EAST
City FARMINGTON
State UT
ZIP 84025
Phone 801 528-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - BEHAVIORAL HEALTH RES
Lab Director CYNTHIA M. BYERLY

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