05D2115420 CLIA NUMBER - COMPREHENSIVE PAIN ASC, LLC

Laboratory Demographics

  • CLIA Code: 05D2115420
  • Facility Name: COMPREHENSIVE PAIN ASC, LLC
  • Facility Address: 16466 BERNARDO CENTER DR STE 177
    SAN DIEGO, CA
    ZIP 92128
  • Facility Phone: 858 453-7700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER G CHISHOLM, MD
  • NPI Number: 1124406632
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2115420
LAB Type Ambulatory Surgery Center
Facility Name COMPREHENSIVE PAIN ASC, LLC
Street 16466 BERNARDO CENTER DR STE 177
City SAN DIEGO
State CA
ZIP 92128
Phone 858 453-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER G CHISHOLM, MD

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