04D2061922 CLIA NUMBER - ADVANCED SPINE AND PAIN CENTER

Laboratory Demographics

  • CLIA Code: 04D2061922
  • Facility Name: ADVANCED SPINE AND PAIN CENTER
  • Facility Address: 11220 EXECUTIVE CENTER DR, SUITE 200
    LITTLE ROCK, AR
    ZIP 72211
  • Facility Phone: 501 219-1114
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAJID SALEEM
  • NPI Number: 1679244826
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 04D2061922
LAB Type Physician Office
Facility Name ADVANCED SPINE AND PAIN CENTER
Street 11220 EXECUTIVE CENTER DR, SUITE 200
City LITTLE ROCK
State AR
ZIP 72211
Phone 501 219-1114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director DR. MAJID SALEEM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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