23D2050609 CLIA NUMBER - ADVANCED PAIN CENTER

Laboratory Demographics

  • CLIA Code: 23D2050609
  • Facility Name: ADVANCED PAIN CENTER
  • Facility Address: 4206 PONTIAC LAKE ROAD
    WATERFORD, MI
    ZIP 48328
  • Facility Phone: 248 857-6889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAZHER HUSSAIN
  • NPI Number: 1730350281
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 23D2050609
LAB Type Physician Office
Facility Name ADVANCED PAIN CENTER
Street 4206 PONTIAC LAKE ROAD
City WATERFORD
State MI
ZIP 48328
Phone 248 857-6889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director MAZHER HUSSAIN

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