05D1103836 CLIA NUMBER - ADVANCED PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D1103836
  • Facility Name: ADVANCED PAIN ASSOCIATES
  • Facility Address: 1665 S IMPERIAL AVE STE D
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 482-0212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES R. STEVENS, MD
  • NPI Number: 1104018159
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D1103836
LAB Type Physician Office
Facility Name ADVANCED PAIN ASSOCIATES
Street 1665 S IMPERIAL AVE STE D
City EL CENTRO
State CA
ZIP 92243
Phone 760 482-0212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director CHARLES R. STEVENS, MD

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