04D2216837 CLIA NUMBER - DELTA PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 04D2216837
  • Facility Name: DELTA PAIN MANAGEMENT
  • Facility Address: 1801 W 40TH AVENUE, SUITE C
    PINE BLUFF, AR
    ZIP 71603
  • Facility Phone: 870 395-7323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DOGRA NAVDEEP
  • NPI Number: 1548879752
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 04D2216837
LAB Type Physician Office
Facility Name DELTA PAIN MANAGEMENT
Street 1801 W 40TH AVENUE, SUITE C
City PINE BLUFF
State AR
ZIP 71603
Phone 870 395-7323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director DR. DOGRA NAVDEEP

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