46D1103137 CLIA NUMBER - SOUTH MAIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D1103137
  • Facility Name: SOUTH MAIN SURGERY CENTER
  • Facility Address: 754 SOUTH MAIN STE 3
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 628-2671
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: S KENT BURTON
  • NPI Number: 1972528537
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1103137
LAB Type Ambulatory Surgery Center
Facility Name SOUTH MAIN SURGERY CENTER
Street 754 SOUTH MAIN STE 3
City ST GEORGE
State UT
ZIP 84770
Phone 435 628-2671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ambulatory Surgery Center
Lab Director S KENT BURTON

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