34D2236419 CLIA NUMBER - MITRA PAIN MANAGEMENT PLLC

Laboratory Demographics

  • CLIA Code: 34D2236419
  • Facility Name: MITRA PAIN MANAGEMENT PLLC
  • Facility Address: 605 ATTAIN ST SUITE 121
    FUQUAY VARINA, NC
    ZIP 27526
  • Facility Phone: 919 525-1501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARSHAN B. PATEL
  • NPI Number: 1538731294
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D2236419
LAB Type Physician Office
Facility Name MITRA PAIN MANAGEMENT PLLC
Street 605 ATTAIN ST SUITE 121
City FUQUAY VARINA
State NC
ZIP 27526
Phone 919 525-1501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2023
Certificate Expiration Date 9/15/2025
Facility Type Physician Office
Lab Director DARSHAN B. PATEL

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This page was last updated on: 3/20/2025