10D2134321 CLIA NUMBER - PIONEER PAIN MANAGEMENT, INC

Laboratory Demographics

  • CLIA Code: 10D2134321
  • Facility Name: PIONEER PAIN MANAGEMENT, INC
  • Facility Address: 266 NW PEACOCK BLVD STE 205
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 446-4883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO POTO
  • NPI Number: 1437603404
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2134321
LAB Type Physician Office
Facility Name PIONEER PAIN MANAGEMENT, INC
Street 266 NW PEACOCK BLVD STE 205
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 446-4883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director ANTONIO POTO

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