46D1030551 CLIA NUMBER - APPLEGATE HOSPICE - ST GEORGE

Laboratory Demographics

  • CLIA Code: 46D1030551
  • Facility Name: APPLEGATE HOSPICE - ST GEORGE
  • Facility Address: 292 SOUTH 1470 EAST SUITE 101
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 801 589-9303
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WESLEY N. HANSEN
  • NPI Number: 1225227390
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 46D1030551
LAB Type Hospice
Facility Name APPLEGATE HOSPICE - ST GEORGE
Street 292 SOUTH 1470 EAST SUITE 101
City ST GEORGE
State UT
ZIP 84790
Phone 801 589-9303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Hospice
Lab Director WESLEY N. HANSEN

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