22D2165397 CLIA NUMBER - PREMIER PAIN MANAGEMENT PLLC

Laboratory Demographics

  • CLIA Code: 22D2165397
  • Facility Name: PREMIER PAIN MANAGEMENT PLLC
  • Facility Address: 33 ELECTRIC AVENUE STE 102
    FITCHBURG, MA
    ZIP 01420
  • Facility Phone: 978 343-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR R. QURESHI
  • NPI Number: 1386102614
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D2165397
LAB Type Physician Office
Facility Name PREMIER PAIN MANAGEMENT PLLC
Street 33 ELECTRIC AVENUE STE 102
City FITCHBURG
State MA
ZIP 01420
Phone 978 343-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director OMAR R. QURESHI

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