34D2151710 CLIA NUMBER - TRIANGLE PAIN CONSULTANTS, PLLC

Laboratory Demographics

CLIA Number: 34D2151710

Facility Name: TRIANGLE PAIN CONSULTANTS, PLLC

Facility Address:
8300 HEALTH PARK, SUITE 109
RALEIGH, NC
ZIP 27615
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Facility Phone Number: 612 999-7759

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134606544

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2151710
LAB Type	Physician Office
Facility Name	TRIANGLE PAIN CONSULTANTS, PLLC
Street	8300 HEALTH PARK, SUITE 109
City	RALEIGH
State	NC
ZIP	27615
Phone	612 999-7759
CertificateType	4
CertificateEffectiveDate	7/25/2022
CertificateExpirationDate	7/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024