07D2040726 CLIA NUMBER - PCA PAIN CARE CENTER

Laboratory Demographics

  • CLIA Code: 07D2040726
  • Facility Name: PCA PAIN CARE CENTER
  • Facility Address: 85 BARNES ROAD #201
    WALLINGFORD, CT
    ZIP 06492
  • Facility Phone: 203 626-5550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIEN J. PARRILLO MD
  • NPI Number: 1275804189
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 07D2040726
LAB Type Physician Office
Facility Name PCA PAIN CARE CENTER
Street 85 BARNES ROAD #201
City WALLINGFORD
State CT
ZIP 06492
Phone 203 626-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director LUCIEN J. PARRILLO MD

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