46D2165702 CLIA NUMBER - SOUTHWEST SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 46D2165702
  • Facility Name: SOUTHWEST SURGERY CENTER, LLC
  • Facility Address: 161 W 200 N, STE 105
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 652-4040
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHARON R. RICHENS MD
  • NPI Number: 1225510159
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2165702
LAB Type Ambulatory Surgery Center
Facility Name SOUTHWEST SURGERY CENTER, LLC
Street 161 W 200 N, STE 105
City ST GEORGE
State UT
ZIP 84770
Phone 435 652-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director SHARON R. RICHENS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025