32D2123051 CLIA NUMBER - PAIN CONSULTANTS & INTERVENTION

Laboratory Demographics

  • CLIA Code: 32D2123051
  • Facility Name: PAIN CONSULTANTS & INTERVENTION
  • Facility Address: 3860 MASTHEAD ST NE
    ALBUQUERQUE, NM
    ZIP 87109
  • Facility Phone: 505 828-1010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD POON
  • NPI Number: 1811341662
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 32D2123051
LAB Type Physician Office
Facility Name PAIN CONSULTANTS & INTERVENTION
Street 3860 MASTHEAD ST NE
City ALBUQUERQUE
State NM
ZIP 87109
Phone 505 828-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DR. EDWARD POON

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