46D0955730 CLIA NUMBER - CENTRAL UTAH CLINIC PC DBA HEART OF DIXIE

Laboratory Demographics

  • CLIA Code: 46D0955730
  • Facility Name: CENTRAL UTAH CLINIC PC DBA HEART OF DIXIE
  • Facility Address: 2825 E MALL DRIVE
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 251-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. BOORMAN MD
  • NPI Number: 1295829281
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0955730
LAB Type Physician Office
Facility Name CENTRAL UTAH CLINIC PC DBA HEART OF DIXIE
Street 2825 E MALL DRIVE
City ST GEORGE
State UT
ZIP 84790
Phone 435 251-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director DAVID C. BOORMAN MD

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This page was last updated on: 3/20/2025