10D2155642 CLIA NUMBER - PAIN TREATMENT SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2155642
  • Facility Name: PAIN TREATMENT SPECIALISTS
  • Facility Address: 2601 E OAKLAND PARK BLVD STE 200
    FORT LAUDERDALE, FL
    ZIP 33306
  • Facility Phone: 954 500-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUMNA E. DISTEFANO
  • NPI Number: 1215429717
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2155642
LAB Type Physician Office
Facility Name PAIN TREATMENT SPECIALISTS
Street 2601 E OAKLAND PARK BLVD STE 200
City FORT LAUDERDALE
State FL
ZIP 33306
Phone 954 500-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director YOUMNA E. DISTEFANO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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