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CORNER CLINIC ST GEORGE LLC
NPI 1629568209
Family Medicine in St George, UT

Active since May 18, 2018CLIA 46D2146494 · Microscopy
2351 S RIVER RD UNIT 5, ST GEORGE, UT 84790(435) 659-7352 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2022, Dec 8, 2021, May 18, 2018 (3 updates tracked since 2018).

About Corner Clinic St George Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNER CLINIC ST GEORGE LLC (NPI 1629568209) is a healthcare organization registered as a family medicine in St George, Utah and active in the NPI registry since May 2018. The organization holds a CLIA Microscopy certificate valid through March 28, 2028, maintains a secondary practice location in St George, and lists Shane Whittier, Coo, as its authorized official.

NPPES Registry Identity

NPI1629568209
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORNER CLINIC ST GEORGE LLC
Location Address2351 S RIVER RD UNIT 5St George, UT 84790-8280
Mailing Address2351 S River Rd Unit 5St George, UT 84790-8280 · (435) 659-7352
Phone(435) 659-7352
Organization SubpartNo
Authorized OfficialShane WhittierCoo · (435) 709-8786
Enumeration DateMay 18, 2018
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1629568209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2351 S RIVER RD UNIT 5, St George, UT 84790
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Secondary Practice Location 1

Location 11930 W Sunset Blvd Ste 94St George, UT 84770-6792 · Phone (435) 709-8786

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2146494

Corner Clinic St George, LLC · St George, UT
Active · expires Mar 28, 2028
CLIA Number46D2146494
Laboratory TypePractitioner Other
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorCory G. Cosgrave
Laboratory Phone(435) 709-8786
Laboratory LocationCorner Clinic St George, LLC2351 S River Rd, St George, UT 84790
CLIA data matches this NPI record on: Address Name Phone
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corner Clinic St George LLC's NPI number?

The NPI number for Corner Clinic St George LLC is 1629568209. It was assigned to this organization in the NPPES registry on May 18, 2018.

Where is Corner Clinic St George LLC located?

Corner Clinic St George LLC is located at 2351 S River Rd Unit 5, St George, UT 84790. The listed phone number is (435) 659-7352.

What is Corner Clinic St George LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Corner Clinic St George LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D2146494) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corner Clinic St George LLC accept?

Health plans from University of Utah Health Plans list Corner Clinic St George LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corner Clinic St George LLC was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.