46D2143823 CLIA NUMBER - ADVANCED HEALTH CARE OF ST GEORGE

Laboratory Demographics

CLIA Number: 46D2143823

Facility Name: ADVANCED HEALTH CARE OF ST GEORGE

Facility Address:
1934 E RIVERSIDE DRIVE
ST GEORGE, UT
ZIP 84790
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Facility Phone Number: 435 319-4973

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1992461560

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D2143823
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	ADVANCED HEALTH CARE OF ST GEORGE
Street	1934 E RIVERSIDE DRIVE
City	ST GEORGE
State	UT
ZIP	84790
Phone	435 319-4973
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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