31D2007461 CLIA NUMBER - PREMIER PAIN CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 31D2007461
  • Facility Name: PREMIER PAIN CENTERS, LLC
  • Facility Address: 55 SCHANCK ROAD, SUITE 18A
    FREEHOLD, NJ
    ZIP 07728
  • Facility Phone: 732 731-9544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN MAK
  • NPI Number: 1104307230
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2007461
LAB Type Physician Office
Facility Name PREMIER PAIN CENTERS, LLC
Street 55 SCHANCK ROAD, SUITE 18A
City FREEHOLD
State NJ
ZIP 07728
Phone 732 731-9544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director JOHN MAK

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