34D2136528 CLIA NUMBER - CAROLINA PAIN CARE

Laboratory Demographics

  • CLIA Code: 34D2136528
  • Facility Name: CAROLINA PAIN CARE
  • Facility Address: 1112 YANCEY STREET
    SHELBY, NC
    ZIP 28150
  • Facility Phone: 704 481-7713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN K. BROCKMAN
  • NPI Number: 1982129136
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 34D2136528
LAB Type Physician Office
Facility Name CAROLINA PAIN CARE
Street 1112 YANCEY STREET
City SHELBY
State NC
ZIP 28150
Phone 704 481-7713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director STEVEN K. BROCKMAN

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