10D2295320 CLIA NUMBER - INTERVENTIONAL PAIN & WELLNESS CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2295320
  • Facility Name: INTERVENTIONAL PAIN & WELLNESS CENTER LLC
  • Facility Address: 1930 N E 47TH ST SUITE 308
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 943-1133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUSH H. TRIPATHI
  • NPI Number: 1265911283
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2295320
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN & WELLNESS CENTER LLC
Street 1930 N E 47TH ST SUITE 308
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 943-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director KUSH H. TRIPATHI

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