21D2168671 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

CLIA Number: 21D2168671

Facility Name: CLEARWAY PAIN SOLUTIONS

Facility Address:
110 HOSPITAL RD SUITE 305
PRINCE FREDERICK, MD
ZIP 20678
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Facility Phone Number: 410 571-2946

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033632385

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	21D2168671
LAB Type	Physician Office
Facility Name	CLEARWAY PAIN SOLUTIONS
Street	110 HOSPITAL RD SUITE 305
City	PRINCE FREDERICK
State	MD
ZIP	20678
Phone	410 571-2946
CertificateType	4
CertificateEffectiveDate	7/8/2023
CertificateExpirationDate	7/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024