26D2001523 CLIA NUMBER - INTERVENTIONAL PAIN CENTER OF CHESTERFIELD

Home > CLIA Lookup > 26D2001523

Laboratory Demographics

CLIA Number: 26D2001523

Facility Name: INTERVENTIONAL PAIN CENTER OF CHESTERFIELD

Facility Address:
17300 N OUTER 40 RD STE 100
CHESTERFIELD, MO
ZIP 63005
Get Directions

Facility Phone Number: 636 728-1977

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1922144484

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2001523
LAB Type	Ambulatory Surgery Center
Facility Name	INTERVENTIONAL PAIN CENTER OF CHESTERFIELD
Street	17300 N OUTER 40 RD STE 100
City	CHESTERFIELD
State	MO
ZIP	63005
Phone	636 728-1977
CertificateType	4
CertificateEffectiveDate	12/22/2023
CertificateExpirationDate	12/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024