23D2183882 CLIA NUMBER - PAIN MD, PLLC

Laboratory Demographics

  • CLIA Code: 23D2183882
  • Facility Name: PAIN MD, PLLC
  • Facility Address: 5050 VILLA LINDE PKWY SUITE A
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 230-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAYEZ KOTOB
  • NPI Number: 1770971616
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 23D2183882
LAB Type Physician Office
Facility Name PAIN MD, PLLC
Street 5050 VILLA LINDE PKWY SUITE A
City FLINT
State MI
ZIP 48532
Phone 810 230-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director FAYEZ KOTOB

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