36D2027360 CLIA NUMBER - MARION PAIN CENTER DBA BKC PAIN SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 36D2027360
  • Facility Name: MARION PAIN CENTER DBA BKC PAIN SPECIALISTS, LLC
  • Facility Address: 1065 DELAWARE AVE, SUITE A
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 387-7246
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MILDRED FLEETWOOD
  • NPI Number: 1548824535
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2027360
LAB Type Physician Office
Facility Name MARION PAIN CENTER DBA BKC PAIN SPECIALISTS, LLC
Street 1065 DELAWARE AVE, SUITE A
City MARION
State OH
ZIP 43302
Phone 740 387-7246
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director DR. MILDRED FLEETWOOD

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