15D2002088 CLIA NUMBER - CENTERS FOR PAIN CONTROL

Laboratory Demographics

  • CLIA Code: 15D2002088
  • Facility Name: CENTERS FOR PAIN CONTROL
  • Facility Address: 204 LEGACY PLAZA W
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: 219 326-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHETAN PURANIK
  • NPI Number: 1790920452
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2002088
LAB Type Physician Office
Facility Name CENTERS FOR PAIN CONTROL
Street 204 LEGACY PLAZA W
City LA PORTE
State IN
ZIP 46350
Phone 219 326-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Physician Office
Lab Director DR. CHETAN PURANIK

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