21D2012201 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 21D2012201
  • Facility Name: CLEARWAY PAIN SOLUTIONS
  • Facility Address: 3261 OLD WASHINGTON RD SUITE 3010
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 410 571-2946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DAMEAN FREAS
  • NPI Number: 1316315740
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2012201
LAB Type Physician Office
Facility Name CLEARWAY PAIN SOLUTIONS
Street 3261 OLD WASHINGTON RD SUITE 3010
City WALDORF
State MD
ZIP 20602
Phone 410 571-2946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director DR. DAMEAN FREAS

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This page was last updated on: 6/4/2025