46D1013969 CLIA NUMBER - ST GEORGE VA CLINIC

Laboratory Demographics

  • CLIA Code: 46D1013969
  • Facility Name: ST GEORGE VA CLINIC
  • Facility Address: 585 EAST RIVERSIDE DRIVE
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 634-7608
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KANE WALSH
  • NPI Number: 1720642218
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 46D1013969
LAB Type Community Clinic
Facility Name ST GEORGE VA CLINIC
Street 585 EAST RIVERSIDE DRIVE
City ST GEORGE
State UT
ZIP 84770
Phone 435 634-7608
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/23/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KANE WALSH

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