10D2201900 CLIA NUMBER - PAIN PLUS

Laboratory Demographics

  • CLIA Code: 10D2201900
  • Facility Name: PAIN PLUS
  • Facility Address: 6816 GRIFFIN RD
    DAVIE, FL
    ZIP 33314
  • Facility Phone: 954 900-3163
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IAN KOWALSKI
  • NPI Number: 1427615335
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2201900
LAB Type Physician Office
Facility Name PAIN PLUS
Street 6816 GRIFFIN RD
City DAVIE
State FL
ZIP 33314
Phone 954 900-3163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director IAN KOWALSKI

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This page was last updated on: 6/4/2025