10D2003928 CLIA NUMBER - COMPREHENSIVE PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 10D2003928
  • Facility Name: COMPREHENSIVE PAIN MANAGEMENT
  • Facility Address: 305 S LINE AVE
    INVERNESS, FL
    ZIP 34452
  • Facility Phone: 352 344-4791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT ULSETH
  • NPI Number: 1720073216
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2003928
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN MANAGEMENT
Street 305 S LINE AVE
City INVERNESS
State FL
ZIP 34452
Phone 352 344-4791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director ROBERT ULSETH

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This page was last updated on: 3/20/2025