46D1010764 CLIA NUMBER - ST GEORGE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 46D1010764
  • Facility Name: ST GEORGE ENDOSCOPY CENTER
  • Facility Address: 368 E RIVERSIDE DR STE B
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 674-3109
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JAMES W. BOWN MD
  • NPI Number: 1457325573
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1010764
LAB Type Ambulatory Surgery Center
Facility Name ST GEORGE ENDOSCOPY CENTER
Street 368 E RIVERSIDE DR STE B
City ST GEORGE
State UT
ZIP 84790
Phone 435 674-3109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Ambulatory Surgery Center
Lab Director JAMES W. BOWN MD

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