08D2143071 CLIA NUMBER - ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC DBA-CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

CLIA Number: 08D2143071

Facility Name: ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC DBA-CLEARWAY PAIN SOLUTIONS

Facility Address:
655 SOUTH BAY RD SUITE D
DOVER, DE
ZIP 19901
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Facility Phone Number: 410 571-2946

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326562174

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	08D2143071
LAB Type	Physician Office
Facility Name	ADVANCED PAIN MANAGEMENT SPECIALISTS, LLC DBA-CLEARWAY PAIN SOLUTIONS
Street	655 SOUTH BAY RD SUITE D
City	DOVER
State	DE
ZIP	19901
Phone	410 571-2946
CertificateType	4
CertificateEffectiveDate	1/24/2024
CertificateExpirationDate	1/23/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024