21D2143560 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 21D2143560
  • Facility Name: CLEARWAY PAIN SOLUTIONS
  • Facility Address: 1576 MERRIT BLVD STE 18
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 443 693-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMEAN FREAS
  • NPI Number: 1598311615
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 21D2143560
LAB Type Physician Office
Facility Name CLEARWAY PAIN SOLUTIONS
Street 1576 MERRIT BLVD STE 18
City DUNDALK
State MD
ZIP 21222
Phone 443 693-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director DAMEAN FREAS

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