07D2186870 CLIA NUMBER - PAIN MANAGEMENT PARTNERS LL PTAN-D100655277

Laboratory Demographics

  • CLIA Code: 07D2186870
  • Facility Name: PAIN MANAGEMENT PARTNERS LL PTAN-D100655277
  • Facility Address: 10 BIRDSEYE RD, SUITE 260
    FARMINGTON, CT
    ZIP 06032
  • Facility Phone: 860 606-7557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT J. BOOLBOL
  • NPI Number: 1174155642
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 07D2186870
LAB Type Physician Office
Facility Name PAIN MANAGEMENT PARTNERS LL PTAN-D100655277
Street 10 BIRDSEYE RD, SUITE 260
City FARMINGTON
State CT
ZIP 06032
Phone 860 606-7557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director ROBERT J. BOOLBOL

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