07D2273849 CLIA NUMBER - TOTAL PAIN TREATMENT CENTER OF CT

Laboratory Demographics

  • CLIA Code: 07D2273849
  • Facility Name: TOTAL PAIN TREATMENT CENTER OF CT
  • Facility Address: 136 SHERMAN AVENUE - LL
    NEW HAVEN, CT
    ZIP 06511
  • Facility Phone: 203 565-5104
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY COLBURN
  • NPI Number: 1265144935
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 07D2273849
LAB Type Practitioner Other
Facility Name TOTAL PAIN TREATMENT CENTER OF CT
Street 136 SHERMAN AVENUE - LL
City NEW HAVEN
State CT
ZIP 06511
Phone 203 565-5104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Practitioner Other
Lab Director MARY COLBURN

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