18D2289195 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2289195
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 165 NATCHEZ TRACE AVE STE 205
    BOWLING GREEN, KY
    ZIP 42103
  • Facility Phone: 270 745-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTIAN UNICK
  • NPI Number: 1629840905
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D2289195
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 165 NATCHEZ TRACE AVE STE 205
City BOWLING GREEN
State KY
ZIP 42103
Phone 270 745-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director DR. CHRISTIAN UNICK

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