15D2224029 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 15D2224029
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 5435 PEARL DR STE 4B
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 476-7111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLAUS WINTERS
  • NPI Number: 1841968427
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2224029
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 5435 PEARL DR STE 4B
City EVANSVILLE
State IN
ZIP 47712
Phone 812 476-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director NICOLAUS WINTERS

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