05D2043163 CLIA NUMBER - PACIFIC COMPREHENSIVE PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 05D2043163
  • Facility Name: PACIFIC COMPREHENSIVE PAIN MANAGEMENT
  • Facility Address: 3851 KATELLA AVE STE 301
    LOS ALAMITOS, CA
    ZIP 90720
  • Facility Phone: 562 799-3888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STANLEY K CHOU
  • NPI Number: 1679718944
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2043163
LAB Type Physician Office
Facility Name PACIFIC COMPREHENSIVE PAIN MANAGEMENT
Street 3851 KATELLA AVE STE 301
City LOS ALAMITOS
State CA
ZIP 90720
Phone 562 799-3888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director STANLEY K CHOU

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