46D2174004 CLIA NUMBER - RED LEDGES DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2174004
  • Facility Name: RED LEDGES DERMATOLOGY
  • Facility Address: 1449 N 1400 W, #22
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: (801) 704-7001
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL W. PETERSON
  • NPI Number: 1417467986
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D2174004
LAB Type Physician Office
Facility Name RED LEDGES DERMATOLOGY
Street 1449 N 1400 W, #22
City ST GEORGE
State UT
ZIP 84770
Phone 8017047001
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director MICHAEL W. PETERSON

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This page was last updated on: 5/15/2026