18D2059678 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES, PLLC

Laboratory Demographics

  • CLIA Code: 18D2059678
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES, PLLC
  • Facility Address: 120 EXECUTIVE PARK
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 855-7200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOSHUA TOBIAS
  • NPI Number: 1326505496
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D2059678
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES, PLLC
Street 120 EXECUTIVE PARK
City LOUISVILLE
State KY
ZIP 40207
Phone 502 855-7200
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director DR. JOSHUA TOBIAS

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