18D0893261 CLIA NUMBER - PAIN MANAGEMENT CENTERS OF AMERICA

Laboratory Demographics

  • CLIA Code: 18D0893261
  • Facility Name: PAIN MANAGEMENT CENTERS OF AMERICA
  • Facility Address: 2831 LONE OAK ROAD
    PADUCAH, KY
    ZIP 42003
  • Facility Phone: 502 554-8373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAXMAIAH MANCHIKANTI
  • NPI Number: 1518016823
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 18D0893261
LAB Type Physician Office
Facility Name PAIN MANAGEMENT CENTERS OF AMERICA
Street 2831 LONE OAK ROAD
City PADUCAH
State KY
ZIP 42003
Phone 502 554-8373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director DR. LAXMAIAH MANCHIKANTI

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