33D2028133 CLIA NUMBER - EAST END PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 33D2028133
  • Facility Name: EAST END PAIN MANAGEMENT
  • Facility Address: 365 COUNTY RD 39A, SUITE 15 & 16
    SOUTHAMPTON, NY
    ZIP 11968
  • Facility Phone: 631 702-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUAN J. GARGIULO
  • NPI Number: 1902852247
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2028133
LAB Type Physician Office
Facility Name EAST END PAIN MANAGEMENT
Street 365 COUNTY RD 39A, SUITE 15 & 16
City SOUTHAMPTON
State NY
ZIP 11968
Phone 631 702-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Physician Office
Lab Director DR. JUAN J. GARGIULO

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