46D2082338 CLIA NUMBER - LIFESPRING PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 46D2082338
  • Facility Name: LIFESPRING PAIN MANAGEMENT CENTER
  • Facility Address: 275 W 200 N #7
    KAYSVILLE, UT
    ZIP 84037
  • Facility Phone: 801 546-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN F. SARTOR
  • NPI Number: 1699115188
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2082338
LAB Type Physician Office
Facility Name LIFESPRING PAIN MANAGEMENT CENTER
Street 275 W 200 N #7
City KAYSVILLE
State UT
ZIP 84037
Phone 801 546-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director BENJAMIN F. SARTOR

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