25D1053601 CLIA NUMBER - TOTAL PAIN CARE

Laboratory Demographics

  • CLIA Code: 25D1053601
  • Facility Name: TOTAL PAIN CARE
  • Facility Address: 1001 14TH STREET
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 482-9224
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES C. MARTIN IV
  • NPI Number: 1063445542
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1053601
LAB Type Ambulatory Surgery Center
Facility Name TOTAL PAIN CARE
Street 1001 14TH STREET
City MERIDIAN
State MS
ZIP 39301
Phone 601 482-9224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Ambulatory Surgery Center
Lab Director CHARLES C. MARTIN IV

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