46D1066163 CLIA NUMBER - INTEGRATED MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 46D1066163
  • Facility Name: INTEGRATED MEDICAL SERVICES
  • Facility Address: 630 SOUTH 400 EAST , SUITE 101
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 673-9653
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TYLER RENCHER
  • NPI Number: 1114289980
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1066163
LAB Type Physician Office
Facility Name INTEGRATED MEDICAL SERVICES
Street 630 SOUTH 400 EAST , SUITE 101
City ST GEORGE
State UT
ZIP 84770
Phone 435 673-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director TYLER RENCHER

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