45D2206292 CLIA NUMBER - APEX INTERVENTIONAL PAIN & SPINE

Laboratory Demographics

  • CLIA Code: 45D2206292
  • Facility Name: APEX INTERVENTIONAL PAIN & SPINE
  • Facility Address: 149 E SH 121 SUITE 105
    COPPELL, TX
    ZIP 75019
  • Facility Phone: 972 833-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED KHAN
  • NPI Number: 1366065997
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2206292
LAB Type Physician Office
Facility Name APEX INTERVENTIONAL PAIN & SPINE
Street 149 E SH 121 SUITE 105
City COPPELL
State TX
ZIP 75019
Phone 972 833-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director MOHAMMED KHAN

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