10D2168506 CLIA NUMBER - APOLLO PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 10D2168506
  • Facility Name: APOLLO PAIN MANAGEMENT
  • Facility Address: 720 CORTARO DRIVE
    SUN CITY CENTER, FL
    ZIP 33573
  • Facility Phone: 833 320-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL J. WARREN
  • NPI Number: 1023673951
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2168506
LAB Type Physician Office
Facility Name APOLLO PAIN MANAGEMENT
Street 720 CORTARO DRIVE
City SUN CITY CENTER
State FL
ZIP 33573
Phone 833 320-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director RANDALL J. WARREN

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