03D2171690 CLIA NUMBER - GOODYEAR PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 03D2171690
  • Facility Name: GOODYEAR PAIN MANAGEMENT
  • Facility Address: 13555 W MCDOWELL RD STE 201
    GOODYEAR, AZ
    ZIP 85395
  • Facility Phone: 602 589-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID K. TOWNS
  • NPI Number: 1376199018
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 03D2171690
LAB Type Physician Office
Facility Name GOODYEAR PAIN MANAGEMENT
Street 13555 W MCDOWELL RD STE 201
City GOODYEAR
State AZ
ZIP 85395
Phone 602 589-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director DAVID K. TOWNS

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