07D1102618 CLIA NUMBER - COMPREHENSIVE PAIN & HEADACHE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 07D1102618
  • Facility Name: COMPREHENSIVE PAIN & HEADACHE TREATMENT CENTER
  • Facility Address: 546 SOUTH BROAD STREET UNIT 4D & E
    MERIDEN, CT
    ZIP 06450
  • Facility Phone: 203 630-1872
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MATTHEW J. WOODCOCK
  • NPI Number: 1548562499
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 07D1102618
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN & HEADACHE TREATMENT CENTER
Street 546 SOUTH BROAD STREET UNIT 4D & E
City MERIDEN
State CT
ZIP 06450
Phone 203 630-1872
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director DR. MATTHEW J. WOODCOCK

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