15D2115693 CLIA NUMBER - CENTERS FOR PAIN CONTROL

Laboratory Demographics

  • CLIA Code: 15D2115693
  • Facility Name: CENTERS FOR PAIN CONTROL
  • Facility Address: 1928 45TH ST
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: (219) 476-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHETAN PURANIK
  • NPI Number: 1174945927
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2115693
LAB Type Physician Office
Facility Name CENTERS FOR PAIN CONTROL
Street 1928 45TH ST
City MUNSTER
State IN
ZIP 46321
Phone 2194767246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director CHETAN PURANIK

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This page was last updated on: 5/18/2026