21D1085909 CLIA NUMBER - CENTER FOR PAIN MANAGEMENT, THE

Laboratory Demographics

  • CLIA Code: 21D1085909
  • Facility Name: CENTER FOR PAIN MANAGEMENT, THE
  • Facility Address: 16900 SCIENCE DRIVE SUITE 100
    BOWIE, MD
    ZIP 20715
  • Facility Phone: 301 464-7008
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CAREY WALTER F. CLOSSON
  • NPI Number: 1023309010
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1085909
LAB Type Mobile Laboratory
Facility Name CENTER FOR PAIN MANAGEMENT, THE
Street 16900 SCIENCE DRIVE SUITE 100
City BOWIE
State MD
ZIP 20715
Phone 301 464-7008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Mobile Laboratory
Lab Director CAREY WALTER F. CLOSSON

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