05D2284359 CLIA NUMBER - ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Laboratory Demographics

CLIA Number: 05D2284359

Facility Name: ADVANCED PAIN DIAGNOSTIC & SOLUTIONS

Facility Address:
400 PLAZA DR STE 160
FOLSOM, CA
ZIP 95630
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Facility Phone Number: 916 605-6230

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316947658

Taxonomy: 2471S1302X - Radiologic Technologist
A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

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
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

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