46D2265636 CLIA NUMBER - RIVER ROAD CLINIC

Laboratory Demographics

  • CLIA Code: 46D2265636
  • Facility Name: RIVER ROAD CLINIC
  • Facility Address: 577 S RIVER ROAD
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 436 635-6477
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. STEPHEN E. CLARK
  • NPI Number: 1558892281
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2265636
LAB Type Community Clinic
Facility Name RIVER ROAD CLINIC
Street 577 S RIVER ROAD
City ST GEORGE
State UT
ZIP 84790
Phone 436 635-6477
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 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Community Clinic
Lab Director DR. STEPHEN E. CLARK

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