46D2241106 CLIA NUMBER - ENTHEOS ACADEMY

Laboratory Demographics

  • CLIA Code: 46D2241106
  • Facility Name: ENTHEOS ACADEMY
  • Facility Address: 4710 WEST 6200 SOUTH
    KEARNS, UT
    ZIP 84118
  • Facility Phone: 801 417-5444
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SUSAN M. TALMADGE
  • NPI Number: 1386063352
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 46D2241106
LAB Type School/Student Health Service
Facility Name ENTHEOS ACADEMY
Street 4710 WEST 6200 SOUTH
City KEARNS
State UT
ZIP 84118
Phone 801 417-5444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type School/Student Health Service
Lab Director SUSAN M. TALMADGE

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