46D2083659 CLIA NUMBER - INTEGRATED PAIN CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 46D2083659
  • Facility Name: INTEGRATED PAIN CONSULTANTS, LLC
  • Facility Address: 5576 SOUTH 1750 EAST SOUTH HARRISON PLAZA
    SOUTH OGDEN, UT
    ZIP 84403
  • Facility Phone: 385 238-4681
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JULIE A. SCHRADER
  • NPI Number: 1518414481
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2083659
LAB Type Physician Office
Facility Name INTEGRATED PAIN CONSULTANTS, LLC
Street 5576 SOUTH 1750 EAST SOUTH HARRISON PLAZA
City SOUTH OGDEN
State UT
ZIP 84403
Phone 385 238-4681
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director JULIE A. SCHRADER

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