10D2015749 CLIA NUMBER - BOYNTON PAIN MANAGEMENT INC

Laboratory Demographics

  • CLIA Code: 10D2015749
  • Facility Name: BOYNTON PAIN MANAGEMENT INC
  • Facility Address: 1403 W BOYNTON BEACH BLVD STE 13
    BOYNTON BEACH, FL
    ZIP 33426
  • Facility Phone: 561 374-7437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRVINE MASON
  • NPI Number: 1194901371
  • Taxonomy: 2084P2900X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2015749
LAB Type Physician Office
Facility Name BOYNTON PAIN MANAGEMENT INC
Street 1403 W BOYNTON BEACH BLVD STE 13
City BOYNTON BEACH
State FL
ZIP 33426
Phone 561 374-7437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director IRVINE MASON

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