14D2174882 CLIA NUMBER - ADVANCED PAIN & SPINE MANAGEMENT, S C

Laboratory Demographics

  • CLIA Code: 14D2174882
  • Facility Name: ADVANCED PAIN & SPINE MANAGEMENT, S C
  • Facility Address: 121 S WILKIE RD #110
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 847 797-4888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE I. MACRINICI
  • NPI Number: 1366947236
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2174882
LAB Type Physician Office
Facility Name ADVANCED PAIN & SPINE MANAGEMENT, S C
Street 121 S WILKIE RD #110
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 797-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director GEORGE I. MACRINICI

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