01D1064147 CLIA NUMBER - CENTER FOR PAIN OF MONTGOMERY PC

Laboratory Demographics

  • CLIA Code: 01D1064147
  • Facility Name: CENTER FOR PAIN OF MONTGOMERY PC
  • Facility Address: 2065 E SOUTH BLVD SUITE 401
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 288-7808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY KATZ MD
  • NPI Number: 1225079262
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 01D1064147
LAB Type Physician Office
Facility Name CENTER FOR PAIN OF MONTGOMERY PC
Street 2065 E SOUTH BLVD SUITE 401
City MONTGOMERY
State AL
ZIP 36116
Phone 334 288-7808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director BRADLEY KATZ MD

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