EVA CARLSTON ACADEMY
NPI 1427330968
Residential Treatment Facility, Emotionally Disturbed Children in Salt Lake City, UT
- Organization
- Residential Treatment Facility, Emotiona...
- CLIA Number: 46D2197409
- CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CEN
- CLIA Exp. Date: 10-22-2026
About EVA CARLSTON ACADEMY
This page provides the complete NPI Profile along with additional information for Eva Carlston Academy, a provider established in Salt Lake City, Utah operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1427330968 assigned on September 2011. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Kristi Ragsdale (Executive Director)
- NPI
- 1427330968 Verify this NPI
- Provider Name
- EVA CARLSTON ACADEMY
- Entity Type
- Organization
- Location Address
- 4943 WASATCH BLVD SALT LAKE CITY, UT 84124
- Location Phone
- (801) 449-0089
- Location Fax
- (801) 204-9510
- Mailing Address
- 4943 WASATCH BLVD SALT LAKE CITY, UT 84124
- Mailing Phone
- (801) 449-0089
- Mailing Fax
- (801) 204-9510
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2011
- Last Update Date
- 09-11-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2197409
- Facility Type
- Other - RESIDENTIAL TREATMENT CEN
- Certificate Effective Date
- October 23, 2024
- Certificate Expiration Date
- October 22, 2026
- Laboratory Director
- MS. KRISTI R. RAGSDALE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eva Carlston Academy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427330968, enumerated as an "organization" on September 11, 2011.
The provider is located at 4943 WASATCH BLVD SALT LAKE CITY, UT 84124 and the phone number is (801) 449-0089.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
