10D1101274 CLIA NUMBER - PAIN CARE SPECIALIST OF FLORIDA

Laboratory Demographics

  • CLIA Code: 10D1101274
  • Facility Name: PAIN CARE SPECIALIST OF FLORIDA
  • Facility Address: 4350 SHERIDAN ST STE 102
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 322-8586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS ESCOBAR
  • NPI Number: 1023285152
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1101274
LAB Type Physician Office
Facility Name PAIN CARE SPECIALIST OF FLORIDA
Street 4350 SHERIDAN ST STE 102
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 322-8586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director LUIS ESCOBAR

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