46D2065178 CLIA NUMBER - LITTLE S CLINIC

Laboratory Demographics

  • CLIA Code: 46D2065178
  • Facility Name: LITTLE S CLINIC
  • Facility Address: 200 SOUTH 4200 WEST
    PAROWAN, UT
    ZIP 84761
  • Facility Phone: 435 477-0133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELLEN F. GARDNER
  • NPI Number: 1164763736
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2065178
LAB Type Physician Office
Facility Name LITTLE S CLINIC
Street 200 SOUTH 4200 WEST
City PAROWAN
State UT
ZIP 84761
Phone 435 477-0133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director ELLEN F. GARDNER

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