10D2147683 CLIA NUMBER - LOPEZ PAIN MANAGEMENT LLC DBA SEASIDE SPINE & PAIN CENTER

Laboratory Demographics

  • CLIA Code: 10D2147683
  • Facility Name: LOPEZ PAIN MANAGEMENT LLC DBA SEASIDE SPINE & PAIN CENTER
  • Facility Address: 4863 PALM COAST PKWY NW, STE 5
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 912 342-2443
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CATHERINE S. BROWN
  • NPI Number: 1871032466
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2147683
LAB Type Physician Office
Facility Name LOPEZ PAIN MANAGEMENT LLC DBA SEASIDE SPINE & PAIN CENTER
Street 4863 PALM COAST PKWY NW, STE 5
City PALM COAST
State FL
ZIP 32137
Phone 912 342-2443
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director CATHERINE S. BROWN

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