46D2216420 CLIA NUMBER - HOMETOWN WELLNESS

Laboratory Demographics

  • CLIA Code: 46D2216420
  • Facility Name: HOMETOWN WELLNESS
  • Facility Address: 1070 N HILDALE ST
    HILDALE, UT
    ZIP 84784
  • Facility Phone: 928 377-0629
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THEIL COOKE
  • NPI Number: 1285229856
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2216420
LAB Type Community Clinic
Facility Name HOMETOWN WELLNESS
Street 1070 N HILDALE ST
City HILDALE
State UT
ZIP 84784
Phone 928 377-0629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Community Clinic
Lab Director THEIL COOKE

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