05D2237120 CLIA NUMBER - NEUROSPINE INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2237120
  • Facility Name: NEUROSPINE INSTITUTE
  • Facility Address: 1120 WEST AVENUE M-4
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 661 480-2377
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PARSA KAMRAM
  • NPI Number: 1780066373
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2237120
LAB Type Practitioner Other
Facility Name NEUROSPINE INSTITUTE
Street 1120 WEST AVENUE M-4
City PALMDALE
State CA
ZIP 93551
Phone 661 480-2377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Practitioner Other
Lab Director PARSA KAMRAM

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