10D2169610 CLIA NUMBER - EXCEL PAIN AND SPINE LLC

Laboratory Demographics

  • CLIA Code: 10D2169610
  • Facility Name: EXCEL PAIN AND SPINE LLC
  • Facility Address: 1417 LAKELAND HILLS BLVD SUITE 201
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 813 701-5804
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NEAL SHAH
  • NPI Number: 1730849209
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2169610
LAB Type Physician Office
Facility Name EXCEL PAIN AND SPINE LLC
Street 1417 LAKELAND HILLS BLVD SUITE 201
City LAKELAND
State FL
ZIP 33805
Phone 813 701-5804
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director DR. NEAL SHAH

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