05D2178263 CLIA NUMBER - ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Laboratory Demographics

  • CLIA Code: 05D2178263
  • Facility Name: ADVANCED PAIN DIAGNOSTIC & SOLUTIONS
  • Facility Address: 1921 SYCAMORE LANE
    DAVIS, CA
    ZIP 95616
  • Facility Phone: 916 934-2136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYVAN D. HADDADAN
  • NPI Number: 1326297169
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2178263
LAB Type Physician Office
Facility Name ADVANCED PAIN DIAGNOSTIC & SOLUTIONS
Street 1921 SYCAMORE LANE
City DAVIS
State CA
ZIP 95616
Phone 916 934-2136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director KAYVAN D. HADDADAN

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