10D2092037 CLIA NUMBER - INTERVENTIONAL PAIN SPECIALISTS OF SOUTHWEST FLORIDA

Laboratory Demographics

  • CLIA Code: 10D2092037
  • Facility Name: INTERVENTIONAL PAIN SPECIALISTS OF SOUTHWEST FLORIDA
  • Facility Address: 10730 KETCHUM VALLEY DR
    RIVERVIEW, FL
    ZIP 33579
  • Facility Phone: 813 331-4465
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODNEY D. RODRIGO
  • NPI Number: 1205249026
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2092037
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN SPECIALISTS OF SOUTHWEST FLORIDA
Street 10730 KETCHUM VALLEY DR
City RIVERVIEW
State FL
ZIP 33579
Phone 813 331-4465
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director RODNEY D. RODRIGO

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