19D2015133 CLIA NUMBER - INTERVENTIONAL PAIN SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 19D2015133
  • Facility Name: INTERVENTIONAL PAIN SPECIALISTS, LLC
  • Facility Address: 3983 I-49 S SERVICE RD
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 407-4512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERT J. GROS JR
  • NPI Number: 1497993844
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2015133
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN SPECIALISTS, LLC
Street 3983 I-49 S SERVICE RD
City OPELOUSAS
State LA
ZIP 70570
Phone 337 407-4512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director ALBERT J. GROS JR

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