46D2018895 CLIA NUMBER - RIVERSIDE MEDICAL ARTS

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Laboratory Demographics

CLIA Number: 46D2018895

Facility Name: RIVERSIDE MEDICAL ARTS

Facility Address:
1068 EAST RIVERSIDE DRIVE
ST GEORGE, UT
ZIP 84790
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Facility Phone Number: 435 628-6466

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1972740249

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D2018895
LAB Type	Physician Office
Facility Name	RIVERSIDE MEDICAL ARTS
Street	1068 EAST RIVERSIDE DRIVE
City	ST GEORGE
State	UT
ZIP	84790
Phone	435 628-6466
CertificateType	2
CertificateEffectiveDate	7/11/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024