03D2219083 CLIA NUMBER - INTEGRATED SPINE, PAIN AND WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2219083
  • Facility Name: INTEGRATED SPINE, PAIN AND WELLNESS
  • Facility Address: 7425 E SHEA BLVD, SUITE 102
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 660-8823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHU K. GOYLE
  • NPI Number: 1619536273
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D2219083
LAB Type Physician Office
Facility Name INTEGRATED SPINE, PAIN AND WELLNESS
Street 7425 E SHEA BLVD, SUITE 102
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 660-8823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director ASHU K. GOYLE

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