18D2192330 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2192330
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 99 WELLPARK LANE, SUITE 4
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Facility Phone: (502) 916-6579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON LEWIS
  • NPI Number: 1194588665
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 18D2192330
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 99 WELLPARK LANE, SUITE 4
City CAMPBELLSVILLE
State KY
ZIP 42718
Phone 5029166579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director DR. JASON LEWIS

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This page was last updated on: 5/18/2026