05D2178263 CLIA NUMBER - ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Laboratory Demographics

CLIA Number: 05D2178263

Facility Name: ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Facility Address:
1921 SYCAMORE LANE
DAVIS, CA
ZIP 95616
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Facility Phone Number: 916 934-2136

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326297169

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024