18D2304765 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 18D2304765
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 110 LONE OAK RD STE 124
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 812 476-7111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICOLAUS WINTERS
  • NPI Number: 1215443874
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 18D2304765
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 110 LONE OAK RD STE 124
City PADUCAH
State KY
ZIP 42001
Phone 812 476-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director DR. NICOLAUS WINTERS

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This page was last updated on: 3/20/2025