46D1101264 CLIA NUMBER - INTERMOUNTAIN HEALTH HOSPICE - ST GEORGE

Laboratory Demographics

  • CLIA Code: 46D1101264
  • Facility Name: INTERMOUNTAIN HEALTH HOSPICE - ST GEORGE
  • Facility Address: 555 S BLUFF ST, SUITE 100
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: (435) 251-2367
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DOMINIC MOORE
  • NPI Number: 1366452880
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 46D1101264
LAB Type Hospice
Facility Name INTERMOUNTAIN HEALTH HOSPICE - ST GEORGE
Street 555 S BLUFF ST, SUITE 100
City ST GEORGE
State UT
ZIP 84770
Phone 4352512367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Hospice
Lab Director DOMINIC MOORE

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This page was last updated on: 5/18/2026