10D1080847 CLIA NUMBER - PAIN & WELLNESS INSTITUTE PA

Laboratory Demographics

CLIA Number: 10D1080847

Facility Name: PAIN & WELLNESS INSTITUTE PA

Facility Address:
4509 N ARMENIA AVE
TAMPA, FL
ZIP 33603
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Facility Phone Number: 813 873-7777

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1558553180

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	10D1080847
LAB Type	Mobile Laboratory
Facility Name	PAIN & WELLNESS INSTITUTE PA
Street	4509 N ARMENIA AVE
City	TAMPA
State	FL
ZIP	33603
Phone	813 873-7777
CertificateType	4
CertificateEffectiveDate	3/4/2024
CertificateExpirationDate	3/3/2026
FacilityType	Waiver

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