21D1085908 CLIA NUMBER - CENTER FOR PAIN MANAGEMENT, THE

Laboratory Demographics

  • CLIA Code: 21D1085908
  • Facility Name: CENTER FOR PAIN MANAGEMENT, THE
  • Facility Address: 75 THOMAS JOHNSON DRIVE SUITE C
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 620-0012
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANISH S. PATEL
  • NPI Number: 1003383654
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 21D1085908
LAB Type Physician Office
Facility Name CENTER FOR PAIN MANAGEMENT, THE
Street 75 THOMAS JOHNSON DRIVE SUITE C
City FREDERICK
State MD
ZIP 21702
Phone 301 620-0012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director ANISH S. PATEL

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