21D2149623 CLIA NUMBER - ADVANCED SPINE AND PAIN CENTERS PLLC

Laboratory Demographics

  • CLIA Code: 21D2149623
  • Facility Name: ADVANCED SPINE AND PAIN CENTERS PLLC
  • Facility Address: 3720 WASHINGTON BOULEVARD SUITE 100
    HALETHORPE, MD
    ZIP 21227
  • Facility Phone: 703 522-2727
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EVAN HOLZBURG
  • NPI Number: 1134748221
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 21D2149623
LAB Type Physician Office
Facility Name ADVANCED SPINE AND PAIN CENTERS PLLC
Street 3720 WASHINGTON BOULEVARD SUITE 100
City HALETHORPE
State MD
ZIP 21227
Phone 703 522-2727
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director EVAN HOLZBURG

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