15D1090319 CLIA NUMBER - ADVANCED PAIN & ANESTHESIA CONSULTANTS

Laboratory Demographics

CLIA Number: 15D1090319

Facility Name: ADVANCED PAIN & ANESTHESIA CONSULTANTS

Facility Address:
11456 BROADWAY
CROWN POINT, IN
ZIP 46307
Get Directions

Facility Phone Number: 219 488-0154

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023044146

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D1090319
LAB Type	Physician Office
Facility Name	ADVANCED PAIN & ANESTHESIA CONSULTANTS
Street	11456 BROADWAY
City	CROWN POINT
State	IN
ZIP	46307
Phone	219 488-0154
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024