46D1054844 CLIA NUMBER - DIXIE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 46D1054844
  • Facility Name: DIXIE PRIMARY CARE
  • Facility Address: 292 S 1470 E, SUITE 200
    SAINT GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 688-0759
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT FORD
  • NPI Number: 1558567123
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1054844
LAB Type Physician Office
Facility Name DIXIE PRIMARY CARE
Street 292 S 1470 E, SUITE 200
City SAINT GEORGE
State UT
ZIP 84790
Phone 435 688-0759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director SCOTT FORD

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