26D2166194 CLIA NUMBER - ELITE PAIN MANAGEMENT AND RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 26D2166194
  • Facility Name: ELITE PAIN MANAGEMENT AND RECOVERY CENTERS
  • Facility Address: 5780 OSAGE BEACH PKWY, SUITE 113
    OSAGE BEACH, MO
    ZIP 65065
  • Facility Phone: 417 888-0167
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRAD M. SIMPSON
  • NPI Number: 1598304917
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 26D2166194
LAB Type Physician Office
Facility Name ELITE PAIN MANAGEMENT AND RECOVERY CENTERS
Street 5780 OSAGE BEACH PKWY, SUITE 113
City OSAGE BEACH
State MO
ZIP 65065
Phone 417 888-0167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director BRAD M. SIMPSON

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