46D0525905 CLIA NUMBER - DIXIE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 46D0525905
  • Facility Name: DIXIE PEDIATRICS
  • Facility Address: 1240 E 100 S BLDG 14
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 628-8232
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JERRY D. TWIGGS
  • NPI Number: 1164837621
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 46D0525905
LAB Type Physician Office
Facility Name DIXIE PEDIATRICS
Street 1240 E 100 S BLDG 14
City ST GEORGE
State UT
ZIP 84790
Phone 435 628-8232
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 7/4/2024
Certificate Expiration Date 7/3/2026
Facility Type Physician Office
Lab Director JERRY D. TWIGGS

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