10D1053251 CLIA NUMBER - PREMIER PAIN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 10D1053251
  • Facility Name: PREMIER PAIN SPECIALISTS LLC
  • Facility Address: 1228 SE 8TH TERRACE
    CAPE CORAL, FL
    ZIP 33990
  • Facility Phone: 239 945-1105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULES A. PREUDHOMME MD
  • NPI Number: 1962589671
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1053251
LAB Type Physician Office
Facility Name PREMIER PAIN SPECIALISTS LLC
Street 1228 SE 8TH TERRACE
City CAPE CORAL
State FL
ZIP 33990
Phone 239 945-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director JULES A. PREUDHOMME MD

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