05D1102662 CLIA NUMBER - ELITE PAIN MANAGEMENT INC

Laboratory Demographics

  • CLIA Code: 05D1102662
  • Facility Name: ELITE PAIN MANAGEMENT INC
  • Facility Address: 2010 E 1ST ST STE 100
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 556-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC B. CHENG
  • NPI Number: 1346449394
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1102662
LAB Type Physician Office
Facility Name ELITE PAIN MANAGEMENT INC
Street 2010 E 1ST ST STE 100
City SANTA ANA
State CA
ZIP 92705
Phone 714 556-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Physician Office
Lab Director MARC B. CHENG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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