05D2054794 CLIA NUMBER - Pain Management & Injury Relief

Laboratory Demographics

CLIA Number: 05D2054794

Facility Name: Pain Management & Injury Relief

Facility Address:
425 Haaland Dr Ste 101
Thousand Oaks, CA
ZIP 91361
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Facility Phone Number: (805) 557-0069

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2054794
LAB Type PHYSICIAN OFFICE
Facility Name Pain Management & Injury Relief
Street 425 Haaland Dr Ste 101
City Thousand Oaks
State CA
ZIP 91361
Phone (805) 557-0069

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This page was last updated on: 12/19/2019