10D2307213 CLIA NUMBER - ESSENTIAL PAIN MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 10D2307213
  • Facility Name: ESSENTIAL PAIN MEDICINE PLLC
  • Facility Address: 3661 SOUTH MIAMI AVE SUITE 504
    MIAMI, FL
    ZIP 33133
  • Facility Phone: 786 717-0753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICK T. BRENNAN
  • NPI Number: 1164205100
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 10D2307213
LAB Type Physician Office
Facility Name ESSENTIAL PAIN MEDICINE PLLC
Street 3661 SOUTH MIAMI AVE SUITE 504
City MIAMI
State FL
ZIP 33133
Phone 786 717-0753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director PATRICK T. BRENNAN

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