33D1098315 CLIA NUMBER - PHOENIX MEDICAL SERVICES PC DBA ROCKVILLE CENTRE PAIN MANAGEMENT & REHAB

Laboratory Demographics

  • CLIA Code: 33D1098315
  • Facility Name: PHOENIX MEDICAL SERVICES PC DBA ROCKVILLE CENTRE PAIN MANAGEMENT & REHAB
  • Facility Address: 165 NORTH VILLAGE AVENUE, SUITE 5
    ROCKVILLE CENTER, NY
    ZIP 11570
  • Facility Phone: (516) 766-0393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM B. JONES
  • NPI Number: 1245450857
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1098315
LAB Type Physician Office
Facility Name PHOENIX MEDICAL SERVICES PC DBA ROCKVILLE CENTRE PAIN MANAGEMENT & REHAB
Street 165 NORTH VILLAGE AVENUE, SUITE 5
City ROCKVILLE CENTER
State NY
ZIP 11570
Phone 5167660393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director DR. WILLIAM B. JONES

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This page was last updated on: 5/18/2026