04D2086422 CLIA NUMBER - INTERVENTIONAL PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 04D2086422
  • Facility Name: INTERVENTIONAL PAIN MANAGEMENT
  • Facility Address: 525 BURNETT DRIVE
    MOUNTAIN HOME, AR
    ZIP 72653
  • Facility Phone: 870 508-5933
  • Facility Type: Other - HOSPITAL PAIN CLINIC
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHRISTOPHER WEBB
  • NPI Number: 1902231178
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D2086422
LAB Type Other - HOSPITAL PAIN CLINIC
Facility Name INTERVENTIONAL PAIN MANAGEMENT
Street 525 BURNETT DRIVE
City MOUNTAIN HOME
State AR
ZIP 72653
Phone 870 508-5933
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Other - HOSPITAL PAIN CLINIC
Lab Director DR. CHRISTOPHER WEBB

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