33D2020202 CLIA NUMBER - OSTEOPATHIC PAIN MANAGEMENT SERVICES

Laboratory Demographics

  • CLIA Code: 33D2020202
  • Facility Name: OSTEOPATHIC PAIN MANAGEMENT SERVICES
  • Facility Address: 153 OAKDALE ROAD
    JOHNSON CITY, NY
    ZIP 13790
  • Facility Phone: 607 748-9001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN L. HASTINGS JR
  • NPI Number: 1831319870
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2020202
LAB Type Physician Office
Facility Name OSTEOPATHIC PAIN MANAGEMENT SERVICES
Street 153 OAKDALE ROAD
City JOHNSON CITY
State NY
ZIP 13790
Phone 607 748-9001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director DR. KEVIN L. HASTINGS JR

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