46D2326870 CLIA NUMBER - DIAMOND DETOX

Laboratory Demographics

  • CLIA Code: 46D2326870
  • Facility Name: DIAMOND DETOX
  • Facility Address: 4965 S 3500 W
    ROY, UT
    ZIP 84067
  • Facility Phone: 385 988-5332
  • Facility Type: Other - SUBSTANCE USE DETOX FACIL
  • Facility Type: Waiver
  • Lab Director: JORDAN BURNINGHAM
  • NPI Number: 1588292064
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2326870
LAB Type Other - SUBSTANCE USE DETOX FACIL
Facility Name DIAMOND DETOX
Street 4965 S 3500 W
City ROY
State UT
ZIP 84067
Phone 385 988-5332
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 Other - SUBSTANCE USE DETOX FACIL
Lab Director JORDAN BURNINGHAM

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