45D2227793 CLIA NUMBER - ADVANCED PAIN CARE

Laboratory Demographics

  • CLIA Code: 45D2227793
  • Facility Name: ADVANCED PAIN CARE
  • Facility Address: 135 BUNTON CREEK
    KYLE, TX
    ZIP 78640
  • Facility Phone: 512 104-3094
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK T. MALONE
  • NPI Number: 1558909853
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 45D2227793
LAB Type Pharmacy
Facility Name ADVANCED PAIN CARE
Street 135 BUNTON CREEK
City KYLE
State TX
ZIP 78640
Phone 512 104-3094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director MARK T. MALONE

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