46D0980189 CLIA NUMBER - CALLAHAN CLINIC PC

Laboratory Demographics

  • CLIA Code: 46D0980189
  • Facility Name: CALLAHAN CLINIC PC
  • Facility Address: 1240 E 100 S
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 656-5323
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS D. CALLAHAN
  • NPI Number: 1609046853
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 46D0980189
LAB Type Physician Office
Facility Name CALLAHAN CLINIC PC
Street 1240 E 100 S
City ST GEORGE
State UT
ZIP 84790
Phone 435 656-5323
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 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director THOMAS D. CALLAHAN

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