46D1003496 CLIA NUMBER - CEDAR VALLEY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D1003496
  • Facility Name: CEDAR VALLEY MEDICAL CLINIC
  • Facility Address: 55 E CANYON COMMERCIAL AVE
    CEDAR CITY, UT
    ZIP 84721
  • Facility Phone: 435 867-1960
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: BRETT E. ROBBINS
  • NPI Number: 1346275997
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 46D1003496
LAB Type Rural Health Clinic
Facility Name CEDAR VALLEY MEDICAL CLINIC
Street 55 E CANYON COMMERCIAL AVE
City CEDAR CITY
State UT
ZIP 84721
Phone 435 867-1960
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 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Rural Health Clinic
Lab Director BRETT E. ROBBINS

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