46D1062109 CLIA NUMBER - DIXIE HOME REHAB

Laboratory Demographics

  • CLIA Code: 46D1062109
  • Facility Name: DIXIE HOME REHAB
  • Facility Address: 352 E RIVERSIDE DR STE B3B
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 628-8347
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. HOKANSON
  • NPI Number: 1982772109
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 46D1062109
LAB Type Home Health Agency
Facility Name DIXIE HOME REHAB
Street 352 E RIVERSIDE DR STE B3B
City ST GEORGE
State UT
ZIP 84790
Phone 435 628-8347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Home Health Agency
Lab Director WILLIAM S. HOKANSON

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