36D2074412 CLIA NUMBER - ANESTHESIA AND PAIN MANAGEMENT LLC DBA PAIN AND SPINE CENTER

Laboratory Demographics

  • CLIA Code: 36D2074412
  • Facility Name: ANESTHESIA AND PAIN MANAGEMENT LLC DBA PAIN AND SPINE CENTER
  • Facility Address: 5700 GATEWAY BLVD STE 100A
    MASON, OH
    ZIP 45040
  • Facility Phone: 937 280-4970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDUL Q. SHAHID
  • NPI Number: 1053600114
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 36D2074412
LAB Type Physician Office
Facility Name ANESTHESIA AND PAIN MANAGEMENT LLC DBA PAIN AND SPINE CENTER
Street 5700 GATEWAY BLVD STE 100A
City MASON
State OH
ZIP 45040
Phone 937 280-4970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director ABDUL Q. SHAHID

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