46D1103407 CLIA NUMBER - SKYLINE PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 46D1103407
  • Facility Name: SKYLINE PAIN CLINIC
  • Facility Address: 5315 SOUTH ADAMS AVENUE STE A
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 476-4448
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JANETTE CARPENTER
  • NPI Number: 1053308452
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1103407
LAB Type Physician Office
Facility Name SKYLINE PAIN CLINIC
Street 5315 SOUTH ADAMS AVENUE STE A
City OGDEN
State UT
ZIP 84405
Phone 801 476-4448
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director JANETTE CARPENTER

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