46D0997979 CLIA NUMBER - DESERT EDGE MEDICAL CO

Laboratory Demographics

  • CLIA Code: 46D0997979
  • Facility Name: DESERT EDGE MEDICAL CO
  • Facility Address: 1664 S DIXIE DR STE D102
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 656-2995
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RYAN T. BORROWMAN
  • NPI Number: 1588162911
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0997979
LAB Type Practitioner Other
Facility Name DESERT EDGE MEDICAL CO
Street 1664 S DIXIE DR STE D102
City ST GEORGE
State UT
ZIP 84770
Phone 435 656-2995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Practitioner Other
Lab Director RYAN T. BORROWMAN

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