21D2095122 CLIA NUMBER - CENTER FOR PAIN MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 21D2095122
  • Facility Name: CENTER FOR PAIN MANAGEMENT, LLC
  • Facility Address: 1838 GREENE TREE ROAD STE 150
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 383-7443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK COLEMAN
  • NPI Number: 1023355286
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2095122
LAB Type Physician Office
Facility Name CENTER FOR PAIN MANAGEMENT, LLC
Street 1838 GREENE TREE ROAD STE 150
City PIKESVILLE
State MD
ZIP 21208
Phone 410 383-7443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director MARK COLEMAN

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