05D2147163 CLIA NUMBER - CENTER FOR INTERVENTIONAL SPINE, INC

Laboratory Demographics

  • CLIA Code: 05D2147163
  • Facility Name: CENTER FOR INTERVENTIONAL SPINE, INC
  • Facility Address: 2424 ARDEN WAY STE 301
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 510 415-2057
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN B. STEWART
  • NPI Number: 1750056966
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2147163
LAB Type Physician Office
Facility Name CENTER FOR INTERVENTIONAL SPINE, INC
Street 2424 ARDEN WAY STE 301
City SACRAMENTO
State CA
ZIP 95825
Phone 510 415-2057
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director DR. JOHN B. STEWART

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