02D2086069 CLIA NUMBER - COMPREHENSIVE PAIN MANAGEMENT, INC

Laboratory Demographics

  • CLIA Code: 02D2086069
  • Facility Name: COMPREHENSIVE PAIN MANAGEMENT, INC
  • Facility Address: 851 E WESTPOINT DRIVE, #203
    WASILLA, AK
    ZIP 99654
  • Facility Phone: 907 373-7934
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW R. JACONETTE
  • NPI Number: 1548483308
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 02D2086069
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN MANAGEMENT, INC
Street 851 E WESTPOINT DRIVE, #203
City WASILLA
State AK
ZIP 99654
Phone 907 373-7934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director DR. ANDREW R. JACONETTE

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