22D2148105 CLIA NUMBER - WORCESTER PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 22D2148105
  • Facility Name: WORCESTER PAIN MANAGEMENT
  • Facility Address: 116 BELMONT ST STE 34
    WORCESTER, MA
    ZIP 01605
  • Facility Phone: 508 904-9026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEMIAN G. MOUSAD
  • NPI Number: 1336631456
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2148105
LAB Type Physician Office
Facility Name WORCESTER PAIN MANAGEMENT
Street 116 BELMONT ST STE 34
City WORCESTER
State MA
ZIP 01605
Phone 508 904-9026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director DEMIAN G. MOUSAD

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