21D1085922 CLIA NUMBER - CENTER FOR PAIN MANAGEMENT LLC

Laboratory Demographics

  • CLIA Code: 21D1085922
  • Facility Name: CENTER FOR PAIN MANAGEMENT LLC
  • Facility Address: 1150 PROFESSIONAL COURT SUITE P
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 665-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ALI EL-MOHANDES
  • NPI Number: 1215274477
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1085922
LAB Type Physician Office
Facility Name CENTER FOR PAIN MANAGEMENT LLC
Street 1150 PROFESSIONAL COURT SUITE P
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 665-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director DR. ALI EL-MOHANDES

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