05D2030873 CLIA NUMBER - COMPREHENSIVE PAIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D2030873
  • Facility Name: COMPREHENSIVE PAIN INSTITUTE
  • Facility Address: 558 ST CHARLES DR STE 110
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 557-7050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES T. LIN
  • NPI Number: 1184980187
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2030873
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN INSTITUTE
Street 558 ST CHARLES DR STE 110
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 557-7050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director JAMES T. LIN

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