46D2326860 CLIA NUMBER - ODYSSEY HOUSE - ACT

Laboratory Demographics

  • CLIA Code: 46D2326860
  • Facility Name: ODYSSEY HOUSE - ACT
  • Facility Address: 124 W 1400 S
    SALT LAKE CITY, UT
    ZIP 84115
  • Facility Phone: 801 382-8441
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEAN MAYER
  • NPI Number: 1801162995
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2326860
LAB Type Practitioner Other
Facility Name ODYSSEY HOUSE - ACT
Street 124 W 1400 S
City SALT LAKE CITY
State UT
ZIP 84115
Phone 801 382-8441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Practitioner Other
Lab Director DEAN MAYER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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