10D1107399 CLIA NUMBER - PHYSICIANS PAIN CENTER

Laboratory Demographics

  • CLIA Code: 10D1107399
  • Facility Name: PHYSICIANS PAIN CENTER
  • Facility Address: 105 SOUTHPARK BLVD STE C 300
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 808-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JYOTI PATEL MD
  • NPI Number: 1144383746
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1107399
LAB Type Physician Office
Facility Name PHYSICIANS PAIN CENTER
Street 105 SOUTHPARK BLVD STE C 300
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 808-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director JYOTI PATEL MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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