36D1106872 CLIA NUMBER - OHIO PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 36D1106872
  • Facility Name: OHIO PAIN CLINIC
  • Facility Address: 3535 PENTAGON DR, OLLIE DAVIS PAVILION SUITE 330
    BEAVERCREEK, OH
    ZIP 45431
  • Facility Phone: 937 434-2226
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMOL SOIN MD
  • NPI Number: 1922281393
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1106872
LAB Type Physician Office
Facility Name OHIO PAIN CLINIC
Street 3535 PENTAGON DR, OLLIE DAVIS PAVILION SUITE 330
City BEAVERCREEK
State OH
ZIP 45431
Phone 937 434-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director AMOL SOIN MD

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