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LIVE FOR LIFE CYPRESS
NPI 1922492057
Community Based Residential Treatment Facility, Mental Illness in Erda, UT

Active since March 26, 2015CLIA 46D2161185 · Waiver
3023 N BRONZEWOOD CIR, ERDA, UT 84074(801) 577-4142 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Live For Life Cypress NPPES

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

LIVE FOR LIFE CYPRESS (NPI 1922492057) is a healthcare organization registered as a community based residential treatment facility, mental illness in Erda, Utah and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Troy Shaw, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922492057
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLIVE FOR LIFE CYPRESS
Location Address3023 N BRONZEWOOD CIRErda, UT 84074-3302
Mailing Address3023 N Bronzewood CirErda, UT 84074-3302 · (801) 577-4142
Phone(801) 577-4142
Organization SubpartNo
Authorized OfficialTroy ShawExecutive Director · (801) 577-4142
Enumeration DateMarch 26, 2015
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1922492057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedFoster Care AgencyTaxonomy 253J00000X · License 9716 (UT)
3023 N BRONZEWOOD CIR, Erda, UT 84074
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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 of Waiver 46D2161185

Live For Life Cypress · Erda, UT
Active · expires Jan 28, 2027
CLIA Number46D2161185
Laboratory TypeResidential Treatment
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorTroy Shaw
Laboratory Phone(435) 255-7650
Laboratory LocationLive For Life Cypress3023 N Bronzewood Circle, Erda, UT 84074
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATUNAISA O HAVILI
Community Health Worker
3023 N BRONZEWOOD CIR
ERDA, UT 84074
Tooele County (435) 255-7650
ALLAN L HAVILI
Community Health Worker
3023 N BRONZEWOOD CIR
ERDA, UT 84074
Tooele County (435) 255-7650
EDGAR J MARTINEZ
Community Health Worker
3023 N BRONZEWOOD CIR
ERDA, UT 84074
Tooele County (435) 255-7650
FRANK C WOLFGRAMM
Community Health Worker
3023 N BRONZEWOOD CIR
ERDA, UT 84074
Tooele County (435) 255-7650

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 Live For Life Cypress's NPI number?

The NPI number for Live For Life Cypress is 1922492057. It was assigned to this organization in the NPPES registry on March 26, 2015.

Where is Live For Life Cypress located?

Live For Life Cypress is located at 3023 N Bronzewood Cir, Erda, UT 84074. The listed phone number is (801) 577-4142.

What is Live For Life Cypress's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Live For Life Cypress hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2161185) is associated with this NPI, valid through January 28, 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 Live For Life Cypress was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.