CLIA lab
CLIA 46D2199050: Parkside Manor
Roosevelt, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2199050 belongs to Parkside Manor in Roosevelt, UT.
Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 5, 2024
- Certificate expiration
- November 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D2199050
- Lab name
- Parkside Manor
- Address
- 822 W Gignon St, Roosevelt, UT 84066
- Phone
- (435) 722-8662
- Fax
- (435) 722-8622
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Roosevelt, UT
- Clinic Ubh Roosevelt, theCertificate for Provider-Performed Microscopy Procedures, Rural health clinic46D2288619
- Davis Food and Drug #2Certificate of Waiver, Pharmacy46D2170142
- Home Help Care ServicesCertificate of Waiver, Home health agency46D2271264
- Northeastern Utah Medical GroupCertificate of Compliance, Physician office46D0726399
- Roosevelt CbocCertificate of Waiver, Community clinic46D1083153
- Roosevelt VA CbocCertificate of Accreditation, Community clinic46D2019240
- Stewart PharmacyCertificate of Waiver, Pharmacy46D2159838
- UbtechCertificate of Waiver, School or student health service46D2200746
- Uintah Basin Medical CenterCertificate of Accreditation, Hospital46D0523026
- Uintah Basin Rehab and Senior VillaCertificate of Waiver, Skilled nursing or nursing facility46D2164051
Related
Questions
What is the CLIA number for Parkside Manor in Roosevelt?
46D2199050, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Parkside Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2199050 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.