10D1042810 CLIA NUMBER - CLEARWATER PAIN MANAGEMENT ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1042810

Facility Name: CLEARWATER PAIN MANAGEMENT ASSOCIATES

Facility Address:
430 MORTON PLANT ST STE 210
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: (727) 446-4506

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1477585883

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1042810
LAB Type	OTHER PRACTITIONER
Facility Name	CLEARWATER PAIN MANAGEMENT ASSOCIATES
Street	430 MORTON PLANT ST STE 210
City	CLEARWATER
State	FL
ZIP	33756
Phone	(727) 446-4506

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This page was last updated on: 5/11/2023