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UTAH STATE DEVELOPMENTAL CENTER
NPI 1689674301
Intermediate Care Facility, Mental Illness in American Fork, UT

Active since July 22, 2005CLIA 46D0683172 · Microscopy
895 N. 900 E., AMERICAN FORK, UT 84003(801) 763-4000(801) 763-4073 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utah State Developmental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UTAH STATE DEVELOPMENTAL CENTER (NPI 1689674301) is a healthcare organization registered as an intermediate care facility, mental illness in American Fork, Utah and active in the NPI registry since July 2005. The organization holds a CLIA Microscopy certificate valid through September 3, 2027 and lists Karen Clarke, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1689674301
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameUTAH STATE DEVELOPMENTAL CENTER
Location Address895 N. 900 E.American Fork, UT 84003-9199
Mailing Address895 N. 900 E.American Fork, UT 84003-9199 · (801) 763-4000 · Fax (801) 763-4073
Phone(801) 763-4000
Fax(801) 763-4073
Organization SubpartNo
Authorized OfficialKaren ClarkeSuperintendent · (801) 763-4091
Enumeration DateJuly 22, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689674301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in UT · 2004-NCF-95
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
895 N. 900 E., American Fork, UT 84003
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D0683172

Utah State Developmental Center · Am Fork, UT
Active · expires Sep 3, 2027
CLIA Number46D0683172
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorSteven D. Monson
Laboratory Phone(801) 763-4000
Laboratory LocationUtah State Developmental Center895 N 900 E, Am Fork, UT 84003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Utah State Developmental Center's NPI number?

The NPI number for Utah State Developmental Center is 1689674301. It was assigned to this organization in the NPPES registry on July 22, 2005.

Where is Utah State Developmental Center located?

Utah State Developmental Center is located at 895 N. 900 E., American Fork, UT 84003. The listed phone number is (801) 763-4000.

What is Utah State Developmental Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Utah State Developmental Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D0683172) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Utah State Developmental Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.