10D2255512 CLIA NUMBER - MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN

Laboratory Demographics

  • CLIA Code: 10D2255512
  • Facility Name: MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN
  • Facility Address: 1800 N FEDERAL HWY SUITE 105
    POMPANO BEACH, FL
    ZIP 33062
  • Facility Phone: 954 934-9856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA M. CRISTANCHO
  • NPI Number: 1396404836
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2255512
LAB Type Physician Office
Facility Name MMCO PAIN MANAGEMENT LLC DBA POMPANO PAIN
Street 1800 N FEDERAL HWY SUITE 105
City POMPANO BEACH
State FL
ZIP 33062
Phone 954 934-9856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director MARIA M. CRISTANCHO

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