14D1063745 CLIA NUMBER - INTERVENTIONAL PAIN CONSULTANTS

Laboratory Demographics

  • CLIA Code: 14D1063745
  • Facility Name: INTERVENTIONAL PAIN CONSULTANTS
  • Facility Address: 3 PROFESSIONAL DRIVE - STE B
    ALTON, IL
    ZIP 62002
  • Facility Phone: 618 465-7177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WYNNDEL T. BUENGER
  • NPI Number: 1225522063
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1063745
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN CONSULTANTS
Street 3 PROFESSIONAL DRIVE - STE B
City ALTON
State IL
ZIP 62002
Phone 618 465-7177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director WYNNDEL T. BUENGER

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