28D2302738 CLIA NUMBER - PAIN WEST

Laboratory Demographics

  • CLIA Code: 28D2302738
  • Facility Name: PAIN WEST
  • Facility Address: 701 PINNACLE DRIVE, SUITE 105
    PAPILLION, NE
    ZIP 68046
  • Facility Phone: 402 505-7989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TONYA L. BOECKENHAUER
  • NPI Number: 1144741406
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 28D2302738
LAB Type Physician Office
Facility Name PAIN WEST
Street 701 PINNACLE DRIVE, SUITE 105
City PAPILLION
State NE
ZIP 68046
Phone 402 505-7989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director TONYA L. BOECKENHAUER

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