46D2146494 CLIA NUMBER - CORNER CLINIC ST GEORGE, LLC

Laboratory Demographics

  • CLIA Code: 46D2146494
  • Facility Name: CORNER CLINIC ST GEORGE, LLC
  • Facility Address: 2351 S RIVER RD
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 709-8786
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: CORY G. COSGRAVE
  • NPI Number: 1922609015
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2146494
LAB Type Practitioner Other
Facility Name CORNER CLINIC ST GEORGE, LLC
Street 2351 S RIVER RD
City ST GEORGE
State UT
ZIP 84790
Phone 435 709-8786
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Practitioner Other
Lab Director CORY G. COSGRAVE

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