36D2316149 CLIA NUMBER - STARK PAIN MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 36D2316149
  • Facility Name: STARK PAIN MANAGEMENT, LLC
  • Facility Address: 6659 FRANK AVENUE NW
    NORTH CANTON, OH
    ZIP 44720
  • Facility Phone: 330 623-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AISHA RAHMAN
  • NPI Number: 1831957414
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2316149
LAB Type Physician Office
Facility Name STARK PAIN MANAGEMENT, LLC
Street 6659 FRANK AVENUE NW
City NORTH CANTON
State OH
ZIP 44720
Phone 330 623-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director AISHA RAHMAN

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