18D2101595 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2101595
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 1107 CROWNE POINTE DRIVE SUITE 107
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 502 916-6579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN K. YOUNG
  • NPI Number: 1659024917
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 18D2101595
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 1107 CROWNE POINTE DRIVE SUITE 107
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 502 916-6579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director DR. STEPHEN K. YOUNG

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