46D1097349 CLIA NUMBER - SPINAL INTERVENTIONS, PLLC

Laboratory Demographics

  • CLIA Code: 46D1097349
  • Facility Name: SPINAL INTERVENTIONS, PLLC
  • Facility Address: 280 W RIVERPARK DR STE 200
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 223-4860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J RILEY R. STRINGHAM
  • NPI Number: 1053336917
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 46D1097349
LAB Type Physician Office
Facility Name SPINAL INTERVENTIONS, PLLC
Street 280 W RIVERPARK DR STE 200
City PROVO
State UT
ZIP 84604
Phone 801 223-4860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director J RILEY R. STRINGHAM

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