05D2160647 CLIA NUMBER - RELIEVE PAIN CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2160647
  • Facility Name: RELIEVE PAIN CENTER, INC
  • Facility Address: 3969 4TH AVE. SUITE 208
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 626 354-3412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDON VAN NOORD
  • NPI Number: 1093281438
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2160647
LAB Type Physician Office
Facility Name RELIEVE PAIN CENTER, INC
Street 3969 4TH AVE. SUITE 208
City SAN DIEGO
State CA
ZIP 92103
Phone 626 354-3412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director BRANDON VAN NOORD

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