10D1106407 CLIA NUMBER - PAIN HEALING CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1106407
  • Facility Name: PAIN HEALING CENTER LLC
  • Facility Address: 1749 S KINGS AVE
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 333-1819
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ABD A. BENNI
  • NPI Number: 1538398995
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D1106407
LAB Type Physician Office
Facility Name PAIN HEALING CENTER LLC
Street 1749 S KINGS AVE
City BRANDON
State FL
ZIP 33511
Phone 813 333-1819
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director DR. ABD A. BENNI

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