21D2291944 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 21D2291944
  • Facility Name: CLEARWAY PAIN SOLUTIONS
  • Facility Address: 950 HARRY S TRUMAN DRIVE NORTH SUITE 140
    LARGO, MD
    ZIP 20774
  • Facility Phone: 855 527-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EHSAN ABDESHAHIAN
  • NPI Number: 1679136469
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2291944
LAB Type Physician Office
Facility Name CLEARWAY PAIN SOLUTIONS
Street 950 HARRY S TRUMAN DRIVE NORTH SUITE 140
City LARGO
State MD
ZIP 20774
Phone 855 527-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director EHSAN ABDESHAHIAN

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