46D2227491 CLIA NUMBER - CENTER FOR WOMEN AND CHLIDREN IN CRISIS DBA THE REFUGE UTAH

Laboratory Demographics

  • CLIA Code: 46D2227491
  • Facility Name: CENTER FOR WOMEN AND CHLIDREN IN CRISIS DBA THE REFUGE UTAH
  • Facility Address: 1736 NORTH 550 WEST
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 377-5500
  • Facility Type: Other - DOMESTIC VIOLENCE SHELTER
  • Facility Type: Waiver
  • Lab Director: LAURIE LOADER
  • NPI Number: 1205568045
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2227491
LAB Type Other - DOMESTIC VIOLENCE SHELTER
Facility Name CENTER FOR WOMEN AND CHLIDREN IN CRISIS DBA THE REFUGE UTAH
Street 1736 NORTH 550 WEST
City PROVO
State UT
ZIP 84604
Phone 801 377-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Other - DOMESTIC VIOLENCE SHELTER
Lab Director LAURIE LOADER

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