16D2105652 CLIA NUMBER - BLUFFS PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 16D2105652
  • Facility Name: BLUFFS PAIN MANAGEMENT
  • Facility Address: 201 RIDGE STREET, SUITE 102
    COUNCIL BLUFFS, IA
    ZIP 51503
  • Facility Phone: 712 396-4359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW E. HUFF
  • NPI Number: 1487866075
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2105652
LAB Type Physician Office
Facility Name BLUFFS PAIN MANAGEMENT
Street 201 RIDGE STREET, SUITE 102
City COUNCIL BLUFFS
State IA
ZIP 51503
Phone 712 396-4359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director ANDREW E. HUFF

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