45D2327996 CLIA NUMBER - INNOVATIVE PAIN AND SPINE INSTITUTE

Laboratory Demographics

  • CLIA Code: 45D2327996
  • Facility Name: INNOVATIVE PAIN AND SPINE INSTITUTE
  • Facility Address: 21820 KINGSLAND BLVD, SUITE 101A
    KATY, TX
    ZIP 77450
  • Facility Phone: 713 370-6411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH E. AMOS
  • NPI Number: 1124361985
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2327996
LAB Type Physician Office
Facility Name INNOVATIVE PAIN AND SPINE INSTITUTE
Street 21820 KINGSLAND BLVD, SUITE 101A
City KATY
State TX
ZIP 77450
Phone 713 370-6411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director JOSEPH E. AMOS

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