19D1107672 CLIA NUMBER - PREMIER PAIN CENTER

Laboratory Demographics

  • CLIA Code: 19D1107672
  • Facility Name: PREMIER PAIN CENTER
  • Facility Address: 7015 HIGHWAY 190 EAST SERVICE ROAD, SUITE 201
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 809-1997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLAN T. PARR, MD
  • NPI Number: 1144734153
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 19D1107672
LAB Type Physician Office
Facility Name PREMIER PAIN CENTER
Street 7015 HIGHWAY 190 EAST SERVICE ROAD, SUITE 201
City COVINGTON
State LA
ZIP 70433
Phone 985 809-1997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director ALLAN T. PARR, MD

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