45D2075735 CLIA NUMBER - PREFERRED SPINE AND PAIN, PLLC

Laboratory Demographics

  • CLIA Code: 45D2075735
  • Facility Name: PREFERRED SPINE AND PAIN, PLLC
  • Facility Address: 171 DEEPWOOD DRIVE STE 102
    ROUND ROCK, TX
    ZIP 78681
  • Facility Phone: 512 255-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW A. KAPLAN
  • NPI Number: 1104258565
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2075735
LAB Type Physician Office
Facility Name PREFERRED SPINE AND PAIN, PLLC
Street 171 DEEPWOOD DRIVE STE 102
City ROUND ROCK
State TX
ZIP 78681
Phone 512 255-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director MATTHEW A. KAPLAN

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