21D2314946 CLIA NUMBER - CLEARWAY PAIN SOLUTIONS

Laboratory Demographics

  • CLIA Code: 21D2314946
  • Facility Name: CLEARWAY PAIN SOLUTIONS
  • Facility Address: 1165 IMPERIAL DR #102
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 855 527-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COLIN MYCHAK
  • NPI Number: 1003694639
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2314946
LAB Type Physician Office
Facility Name CLEARWAY PAIN SOLUTIONS
Street 1165 IMPERIAL DR #102
City HAGERSTOWN
State MD
ZIP 21740
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 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director DR. COLIN MYCHAK

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