25D1072565 CLIA NUMBER - LAUREL PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 25D1072565
  • Facility Name: LAUREL PAIN CLINIC
  • Facility Address: 1706 W 12TH ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 919 766-8791
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. THOMAS S. PITTMAN
  • NPI Number: 1811098874
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1072565
LAB Type Physician Office
Facility Name LAUREL PAIN CLINIC
Street 1706 W 12TH ST
City LAUREL
State MS
ZIP 39440
Phone 919 766-8791
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director DR. THOMAS S. PITTMAN

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