03D2103490 CLIA NUMBER - ADVANCED PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 03D2103490
  • Facility Name: ADVANCED PAIN MANAGEMENT
  • Facility Address: 4425 E AGAVE RD, BLDG 9, STE 152
    PHOENIX, AZ
    ZIP 85044
  • Facility Phone: 623 466-6350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKRAMJEET SAINI
  • NPI Number: 1700398682
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2103490
LAB Type Physician Office
Facility Name ADVANCED PAIN MANAGEMENT
Street 4425 E AGAVE RD, BLDG 9, STE 152
City PHOENIX
State AZ
ZIP 85044
Phone 623 466-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2023
Certificate Expiration Date 10/13/2025
Facility Type Physician Office
Lab Director VIKRAMJEET SAINI

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This page was last updated on: 6/4/2025