34D2074990 CLIA NUMBER - AMARA PAIN AND SPINE PLLC

Laboratory Demographics

  • CLIA Code: 34D2074990
  • Facility Name: AMARA PAIN AND SPINE PLLC
  • Facility Address: 6429 BANNINGTON DRIVE, SUITE B
    CHARLOTTE, NC
    ZIP 28266
  • Facility Phone: 646 283-1344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHVIN K. AMARA
  • NPI Number: 1417371154
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2074990
LAB Type Physician Office
Facility Name AMARA PAIN AND SPINE PLLC
Street 6429 BANNINGTON DRIVE, SUITE B
City CHARLOTTE
State NC
ZIP 28266
Phone 646 283-1344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director ASHVIN K. AMARA

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