15D2114285 CLIA NUMBER - COLUMBUS PAIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 15D2114285
  • Facility Name: COLUMBUS PAIN INSTITUTE
  • Facility Address: 2400 N PARK, STE 20
    COLUMBUS, IN
    ZIP 47203
  • Facility Phone: 812 376-0700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD A. ROBERTSON
  • NPI Number: 1346322187
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2114285
LAB Type Ambulatory Surgery Center
Facility Name COLUMBUS PAIN INSTITUTE
Street 2400 N PARK, STE 20
City COLUMBUS
State IN
ZIP 47203
Phone 812 376-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD A. ROBERTSON

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