23D2295080 CLIA NUMBER - MICHIGAN PAIN SPECIALISTS, PLLC

Laboratory Demographics

  • CLIA Code: 23D2295080
  • Facility Name: MICHIGAN PAIN SPECIALISTS, PLLC
  • Facility Address: 710 AVIS DRIVE SUITE 200
    ANN ARBOR, MI
    ZIP 48108
  • Facility Phone: 734 547-4870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD P. WASHABAUGH III
  • NPI Number: 1144351644
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 23D2295080
LAB Type Physician Office
Facility Name MICHIGAN PAIN SPECIALISTS, PLLC
Street 710 AVIS DRIVE SUITE 200
City ANN ARBOR
State MI
ZIP 48108
Phone 734 547-4870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director EDWARD P. WASHABAUGH III

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