03D2011744 CLIA NUMBER - TRIAD PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 03D2011744
  • Facility Name: TRIAD PAIN MANAGEMENT
  • Facility Address: 2745 S ALMA SCHOOL RD, #2
    CHANDLER, AZ
    ZIP 85286
  • Facility Phone: 480 413-0586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY S. WILCOX
  • NPI Number: 1477802536
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2011744
LAB Type Physician Office
Facility Name TRIAD PAIN MANAGEMENT
Street 2745 S ALMA SCHOOL RD, #2
City CHANDLER
State AZ
ZIP 85286
Phone 480 413-0586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director TERRY S. WILCOX

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