46D1099031 CLIA NUMBER - JACK TERRELL HINKLE, DO, PC

Laboratory Demographics

  • CLIA Code: 46D1099031
  • Facility Name: JACK TERRELL HINKLE, DO, PC
  • Facility Address: 595 S BLUFF ST STE 6
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 628-5851
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACK T. HINKLE
  • NPI Number: 1336364215
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1099031
LAB Type Physician Office
Facility Name JACK TERRELL HINKLE, DO, PC
Street 595 S BLUFF ST STE 6
City ST GEORGE
State UT
ZIP 84770
Phone 435 628-5851
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director JACK T. HINKLE

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