CLIA lab
CLIA 46D1104021: Integrative Medical Associates
Provo, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D1104021 belongs to Integrative Medical Associates in Provo, UT.
Certificate of Waiver, effective August 24, 2025, expires August 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 24, 2025
- Certificate expiration
- August 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D1104021
- Lab name
- Integrative Medical Associates
- Address
- 3650 N University Ave Ste 200, Provo, UT 84604
- Phone
- (801) 420-0947
- Fax
- (801) 235-1509
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Integrative Medical Associates in Provo?
46D1104021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Integrative Medical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D1104021 expire?
The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.