46D2060205 CLIA NUMBER - WASATCH PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 46D2060205
  • Facility Name: WASATCH PAIN SOLUTIONS
  • Facility Address: 661 WEST 10600 SOUTH
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 302-2690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QAMAR R. KHAN
  • NPI Number: 1841531340
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2060205
LAB Type Physician Office
Facility Name WASATCH PAIN SOLUTIONS
Street 661 WEST 10600 SOUTH
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 302-2690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director QAMAR R. KHAN

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