21D2122508 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 21D2122508
  • Facility Name: CLEARWAY PAIN SOLUTIONS
  • Facility Address: 10905 FT WASHINGTON RD SUITE 405
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 410 571-2946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMEAN FREAS
  • NPI Number: 1578087334
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2122508
LAB Type Physician Office
Facility Name CLEARWAY PAIN SOLUTIONS
Street 10905 FT WASHINGTON RD SUITE 405
City FORT WASHINGTON
State MD
ZIP 20744
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director DAMEAN FREAS

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