46D0525790 CLIA NUMBER - CEDAR CITY CLINIC

Laboratory Demographics

  • CLIA Code: 46D0525790
  • Facility Name: CEDAR CITY CLINIC
  • Facility Address: 1303 N MAIN STEET, SUITE 3
    CEDAR CITY, UT
    ZIP 84721
  • Facility Phone: 435 251-2500
  • Facility Type: Other - CLINIC
  • Facility Type: Microscopy
  • Lab Director: JACOB C. CORRY
  • NPI Number: 1417141037
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 46D0525790
LAB Type Other - CLINIC
Facility Name CEDAR CITY CLINIC
Street 1303 N MAIN STEET, SUITE 3
City CEDAR CITY
State UT
ZIP 84721
Phone 435 251-2500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description 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.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Other - CLINIC
Lab Director JACOB C. CORRY

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