46D2149796 CLIA NUMBER - SOUTHWICK INTEGRATIVE HEALING

Laboratory Demographics

  • CLIA Code: 46D2149796
  • Facility Name: SOUTHWICK INTEGRATIVE HEALING
  • Facility Address: 6575 S REDWOOD RD, SUITE 350
    SALT LAKE CITY, UT
    ZIP 84123
  • Facility Phone: 801 432-7712
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARTHA F. SOUTHWICK
  • NPI Number: 1346732765
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2149796
LAB Type Practitioner Other
Facility Name SOUTHWICK INTEGRATIVE HEALING
Street 6575 S REDWOOD RD, SUITE 350
City SALT LAKE CITY
State UT
ZIP 84123
Phone 801 432-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Practitioner Other
Lab Director MARTHA F. SOUTHWICK

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