10D2297187 CLIA NUMBER - OHW VENTURES LLC DBA PONTE VEDRA SPINE AND PAIN CENTER

Laboratory Demographics

  • CLIA Code: 10D2297187
  • Facility Name: OHW VENTURES LLC DBA PONTE VEDRA SPINE AND PAIN CENTER
  • Facility Address: 380 TOWN PLAZA AVE STE 420
    PONTE VEDRA, FL
    ZIP 32081
  • Facility Phone: 904 750-3787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELI S. LOCH
  • NPI Number: 1073006060
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2297187
LAB Type Physician Office
Facility Name OHW VENTURES LLC DBA PONTE VEDRA SPINE AND PAIN CENTER
Street 380 TOWN PLAZA AVE STE 420
City PONTE VEDRA
State FL
ZIP 32081
Phone 904 750-3787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director ELI S. LOCH

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