31D2127636 CLIA NUMBER - PREMIER PAIN CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 31D2127636
  • Facility Name: PREMIER PAIN CENTERS, LLC
  • Facility Address: 1430 HOOPER AVENUE, SUITE 205
    TOMS RIVER, NJ
    ZIP 08753
  • Facility Phone: 732 380-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEAN LI
  • NPI Number: 1780246017
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D2127636
LAB Type Physician Office
Facility Name PREMIER PAIN CENTERS, LLC
Street 1430 HOOPER AVENUE, SUITE 205
City TOMS RIVER
State NJ
ZIP 08753
Phone 732 380-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director SEAN LI

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