10D1099134 CLIA NUMBER - INTEGRATIVE PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 10D1099134
  • Facility Name: INTEGRATIVE PAIN SOLUTIONS
  • Facility Address: 1301 PLANTATION ISLAND DR S
    SAINT AUGUSTINE, FL
    ZIP 32080
  • Facility Phone: 904 471-4744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT F. CORNEAL
  • NPI Number: 1770504755
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D1099134
LAB Type Physician Office
Facility Name INTEGRATIVE PAIN SOLUTIONS
Street 1301 PLANTATION ISLAND DR S
City SAINT AUGUSTINE
State FL
ZIP 32080
Phone 904 471-4744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director SCOTT F. CORNEAL

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