10D1106658 CLIA NUMBER - FIRST CHOICE PAIN CARE CLINIC

Laboratory Demographics

CLIA Number: 10D1106658

Facility Name: FIRST CHOICE PAIN CARE CLINIC

Facility Address:
401 COMMERCIAL CT STE D
VENICE, FL
ZIP 34292
Get Directions

Facility Phone Number: 941 480-0200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528379344

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1106658
LAB Type	Physician Office
Facility Name	FIRST CHOICE PAIN CARE CLINIC
Street	401 COMMERCIAL CT STE D
City	VENICE
State	FL
ZIP	34292
Phone	941 480-0200
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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