14D2145087 CLIA NUMBER - PREMIER PAIN AND SPINE

Laboratory Demographics

  • CLIA Code: 14D2145087
  • Facility Name: PREMIER PAIN AND SPINE
  • Facility Address: 3253 S HARLEM AVE
    BERWYN, IL
    ZIP 60402
  • Facility Phone: 847 519-4701
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ARPAN J. PATEL M D
  • NPI Number: 1083087696
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 14D2145087
LAB Type Practitioner Other
Facility Name PREMIER PAIN AND SPINE
Street 3253 S HARLEM AVE
City BERWYN
State IL
ZIP 60402
Phone 847 519-4701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Practitioner Other
Lab Director ARPAN J. PATEL M D

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