05D2284359 CLIA NUMBER - ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Laboratory Demographics

  • CLIA Code: 05D2284359
  • Facility Name: ADVANCED PAIN DIAGNOSTIC & SOLUTIONS
  • Facility Address: 400 PLAZA DR STE 160
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 605-6230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYVAN HADDADAN
  • NPI Number: 1316947658
  • Taxonomy: 2471S1302X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 05D2284359
LAB Type Physician Office
Facility Name ADVANCED PAIN DIAGNOSTIC & SOLUTIONS
Street 400 PLAZA DR STE 160
City FOLSOM
State CA
ZIP 95630
Phone 916 605-6230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director KAYVAN HADDADAN

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