46D2284218 CLIA NUMBER - DEER HOLLOW - TRAILSIDE

Laboratory Demographics

  • CLIA Code: 46D2284218
  • Facility Name: DEER HOLLOW - TRAILSIDE
  • Facility Address: 13013 SHADOWLANDS LANE
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 679-6669
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: ERICA AGLIANO
  • NPI Number: 1487160875
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2284218
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name DEER HOLLOW - TRAILSIDE
Street 13013 SHADOWLANDS LANE
City DRAPER
State UT
ZIP 84020
Phone 801 679-6669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director ERICA AGLIANO

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