45D2004448 CLIA NUMBER - ADVANCED SPINE PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 45D2004448
  • Facility Name: ADVANCED SPINE PAIN SOLUTIONS
  • Facility Address: 7614 ROCIO DR
    LAREDO, TX
    ZIP 78041
  • Facility Phone: 956 795-8393
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES A. BOURLAND
  • NPI Number: 1952789513
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 45D2004448
LAB Type Physician Office
Facility Name ADVANCED SPINE PAIN SOLUTIONS
Street 7614 ROCIO DR
City LAREDO
State TX
ZIP 78041
Phone 956 795-8393
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. JAMES A. BOURLAND

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