29D1101017 CLIA NUMBER - INNOVATIVE PAIN CARE CENTER

Laboratory Demographics

  • CLIA Code: 29D1101017
  • Facility Name: INNOVATIVE PAIN CARE CENTER
  • Facility Address: 9920 W CHEYENNE AVE STE 110
    LAS VEGAS, NV
    ZIP 89129
  • Facility Phone: 702 316-2281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL L. BURKHEAD, MD
  • NPI Number: 1942253075
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 29D1101017
LAB Type Physician Office
Facility Name INNOVATIVE PAIN CARE CENTER
Street 9920 W CHEYENNE AVE STE 110
City LAS VEGAS
State NV
ZIP 89129
Phone 702 316-2281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director DANIEL L. BURKHEAD, MD

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