46D2085267 CLIA NUMBER - PACIFIC MEDICAL ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 46D2085267
  • Facility Name: PACIFIC MEDICAL ASSOCIATES, PC
  • Facility Address: 321 N MALL DR, STE I-102
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 628-3651
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. CODIGA
  • NPI Number: 1912307901
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2085267
LAB Type Physician Office
Facility Name PACIFIC MEDICAL ASSOCIATES, PC
Street 321 N MALL DR, STE I-102
City ST GEORGE
State UT
ZIP 84790
Phone 435 628-3651
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director MICHAEL A. CODIGA

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