36D2135380 CLIA NUMBER - COMPREHENSIVE PAIN MANAGEMENT (STREETSBORO LOC)

Laboratory Demographics

CLIA Number: 36D2135380

Facility Name: COMPREHENSIVE PAIN MANAGEMENT (STREETSBORO LOC)

Facility Address:
9150 MARKET SQUARE DR
STREETSBORO, OH
ZIP 44241
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Facility Phone Number: 330 208-2720

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336419621

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 36D2135380
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN MANAGEMENT (STREETSBORO LOC)
Street 9150 MARKET SQUARE DR
City STREETSBORO
State OH
ZIP 44241
Phone 330 208-2720
CertificateType 4
CertificateEffectiveDate 8/22/2023
CertificateExpirationDate 8/21/2025
FacilityType Waiver

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