15D2306692 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 15D2306692
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 3903 S 7TH ST STE 1A
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 476-7111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH FOLZ
  • NPI Number: 1295395341
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2306692
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 3903 S 7TH ST STE 1A
City TERRE HAUTE
State IN
ZIP 47802
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director JOSEPH FOLZ

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