46D2312477 CLIA NUMBER - WHITE DOVE DETOX

Laboratory Demographics

  • CLIA Code: 46D2312477
  • Facility Name: WHITE DOVE DETOX
  • Facility Address: 1810 E 3100 N
    LAYTON, UT
    ZIP 84040
  • Facility Phone: 385 595-6001
  • Facility Type: Other - RESEDENTIAL DETOX PROGRAM
  • Facility Type: Waiver
  • Lab Director: KATHRYN BERGMAN
  • NPI Number: 1538990007
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 46D2312477
LAB Type Other - RESEDENTIAL DETOX PROGRAM
Facility Name WHITE DOVE DETOX
Street 1810 E 3100 N
City LAYTON
State UT
ZIP 84040
Phone 385 595-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Other - RESEDENTIAL DETOX PROGRAM
Lab Director KATHRYN BERGMAN

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