10D2114439 CLIA NUMBER - ADVANCED PAIN MANAGEMENT DBA FLORIDA PAIN MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2114439
  • Facility Name: ADVANCED PAIN MANAGEMENT DBA FLORIDA PAIN MEDICINE
  • Facility Address: 428 W BRANDON BLVD
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 388-2948
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAULIK BHALANI
  • NPI Number: 1811363732
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2114439
LAB Type Physician Office
Facility Name ADVANCED PAIN MANAGEMENT DBA FLORIDA PAIN MEDICINE
Street 428 W BRANDON BLVD
City BRANDON
State FL
ZIP 33511
Phone 813 388-2948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director MAULIK BHALANI

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