46D2191872 CLIA NUMBER - QUINTESSENCE HEALTH AND WELLNESS

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Laboratory Demographics

CLIA Number: 46D2191872

Facility Name: QUINTESSENCE HEALTH AND WELLNESS

Facility Address:
880 E 9400 S STE 109
SANDY, UT
ZIP 84094
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Facility Phone Number: 801 930-9381

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1659974293

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	46D2191872
LAB Type	Independent
Facility Name	QUINTESSENCE HEALTH AND WELLNESS
Street	880 E 9400 S STE 109
City	SANDY
State	UT
ZIP	84094
Phone	801 930-9381
CertificateType	4
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Waiver

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