21D2302336 CLIA NUMBER - SUPERB PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 21D2302336
  • Facility Name: SUPERB PAIN MANAGEMENT CENTER
  • Facility Address: 110 WEST RD #350
    TOWSON, MD
    ZIP 21204
  • Facility Phone: (410) 921-3100
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. LEI YEAGLEY
  • NPI Number: 1891575411
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2302336
LAB Type Physician Office
Facility Name SUPERB PAIN MANAGEMENT CENTER
Street 110 WEST RD #350
City TOWSON
State MD
ZIP 21204
Phone 4109213100
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director DR. LEI YEAGLEY

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This page was last updated on: 5/18/2026