10D1084179 CLIA NUMBER - NEUROSCIENCE & SPINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1084179
  • Facility Name: NEUROSCIENCE & SPINE ASSOCIATES
  • Facility Address: 130 TAMIAMI TRL N STE 250
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 594-8002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. VICKERS
  • NPI Number: 1669536645
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1084179
LAB Type Physician Office
Facility Name NEUROSCIENCE & SPINE ASSOCIATES
Street 130 TAMIAMI TRL N STE 250
City NAPLES
State FL
ZIP 34102
Phone 239 594-8002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director MICHAEL J. VICKERS

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