46D2266513 CLIA NUMBER - DIAMOND TREE RECOVERY

Laboratory Demographics

  • CLIA Code: 46D2266513
  • Facility Name: DIAMOND TREE RECOVERY
  • Facility Address: 845 W 200 N
    KAYSVILLE, UT
    ZIP 84037
  • Facility Phone: 954 812-4012
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: JORDAN BURNINGHAM
  • NPI Number: 1285116947
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2266513
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name DIAMOND TREE RECOVERY
Street 845 W 200 N
City KAYSVILLE
State UT
ZIP 84037
Phone 954 812-4012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director JORDAN BURNINGHAM

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