05D2027578 CLIA NUMBER - ADVANCED PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 05D2027578
  • Facility Name: ADVANCED PAIN MANAGEMENT
  • Facility Address: 2023 W VISTA WAY STE D
    VISTA, CA
    ZIP 92083
  • Facility Phone: 619 330-8771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANUJ GUPTA
  • NPI Number: 1801229661
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2027578
LAB Type Physician Office
Facility Name ADVANCED PAIN MANAGEMENT
Street 2023 W VISTA WAY STE D
City VISTA
State CA
ZIP 92083
Phone 619 330-8771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director ANUJ GUPTA

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