03D2120172 CLIA NUMBER - INNOVATIVE PAIN AND WELLNESS, PLC

Laboratory Demographics

  • CLIA Code: 03D2120172
  • Facility Name: INNOVATIVE PAIN AND WELLNESS, PLC
  • Facility Address: 6553 E BAYWOOD AVE STE 201
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 254-2260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAFIK BOYAJI
  • NPI Number: 1558044263
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2120172
LAB Type Physician Office
Facility Name INNOVATIVE PAIN AND WELLNESS, PLC
Street 6553 E BAYWOOD AVE STE 201
City MESA
State AZ
ZIP 85206
Phone 480 254-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director SHAFIK BOYAJI

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