15D2052478 CLIA NUMBER - LAFAYETTE PAIN CARE PC

Laboratory Demographics

  • CLIA Code: 15D2052478
  • Facility Name: LAFAYETTE PAIN CARE PC
  • Facility Address: 770 PARK EAST BLVD, STE B
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 714-4344
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JING CAO
  • NPI Number: 1578940417
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2052478
LAB Type Physician Office
Facility Name LAFAYETTE PAIN CARE PC
Street 770 PARK EAST BLVD, STE B
City LAFAYETTE
State IN
ZIP 47905
Phone 765 714-4344
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director DR. JING CAO

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