15D2277799 CLIA NUMBER - SAGE INTERVENTIONAL PAIN MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 15D2277799
  • Facility Name: SAGE INTERVENTIONAL PAIN MEDICINE, LLC
  • Facility Address: 1169 N MAIN ST STE 7
    BLUFFTON, IN
    ZIP 46714
  • Facility Phone: 260 366-4900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES S. LINDZY
  • NPI Number: 1447891130
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2277799
LAB Type Physician Office
Facility Name SAGE INTERVENTIONAL PAIN MEDICINE, LLC
Street 1169 N MAIN ST STE 7
City BLUFFTON
State IN
ZIP 46714
Phone 260 366-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director CHARLES S. LINDZY

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