10D1057631 CLIA NUMBER - VA PAIN CLINIC

Laboratory Demographics

CLIA Number: 10D1057631

Facility Name: VA PAIN CLINIC

Facility Address:
3401 NW 98TH ST
GAINESVILLE, FL
ZIP 32606
Get Directions

Facility Phone Number: 352 376-1611

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1538679576

Taxonomy: 164W00000X - Licensed Practical Nurse
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Record

Field Name	Field Value
CLIA Number	10D1057631
LAB Type	Community Clinic
Facility Name	VA PAIN CLINIC
Street	3401 NW 98TH ST
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 376-1611
CertificateType	1
CertificateEffectiveDate	8/17/2006
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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