46D0693764 CLIA NUMBER - INTERMOUNTAIN HEALTH HOME HEALTH - ST GEORGE

Laboratory Demographics

  • CLIA Code: 46D0693764
  • Facility Name: INTERMOUNTAIN HEALTH HOME HEALTH - ST GEORGE
  • Facility Address: 555 S BLUFF ST, SUITE 100
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 251-2367
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOMINIC MOORE
  • NPI Number: 1437457603
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 46D0693764
LAB Type Home Health Agency
Facility Name INTERMOUNTAIN HEALTH HOME HEALTH - ST GEORGE
Street 555 S BLUFF ST, SUITE 100
City ST GEORGE
State UT
ZIP 84770
Phone 435 251-2367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Home Health Agency
Lab Director DOMINIC MOORE

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