46D2183906 CLIA NUMBER - SOUTHWEST SPINE AND PAIN CENTER

Laboratory Demographics

CLIA Number: 46D2183906

Facility Name: SOUTHWEST SPINE AND PAIN CENTER

Facility Address:
15 S 1000 E #225
PAYSON, UT
ZIP 84651
Get Directions

Facility Phone Number: 435 215-0230

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871263178

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	46D2183906
LAB Type	Physician Office
Facility Name	SOUTHWEST SPINE AND PAIN CENTER
Street	15 S 1000 E #225
City	PAYSON
State	UT
ZIP	84651
Phone	435 215-0230
CertificateType	4
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024