10D2133052 CLIA NUMBER - PAINALGIA RELIEF CENTER LLC

Laboratory Demographics

CLIA Number: 10D2133052

Facility Name: PAINALGIA RELIEF CENTER LLC

Facility Address:
240 MOHAWK ROAD
CLERMONT, FL
ZIP 34715
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Facility Phone Number: (407) 708-3540

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1003352592

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2133052
LAB Type	PHYSICIAN OFFICE
Facility Name	PAINALGIA RELIEF CENTER LLC
Street	240 MOHAWK ROAD
City	CLERMONT
State	FL
ZIP	34715
Phone	(407) 708-3540

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This page was last updated on: 5/11/2023