38D2018203 CLIA NUMBER - COLUMBIA PAIN MANAGEMENT PC

Laboratory Demographics

  • CLIA Code: 38D2018203
  • Facility Name: COLUMBIA PAIN MANAGEMENT PC
  • Facility Address: 3601 KLINDT DRIVE SUITE 200
    THE DALLES, OR
    ZIP 97058
  • Facility Phone: 541 386-9500
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PETER KOSEK
  • NPI Number: 1053708297
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 38D2018203
LAB Type Physician Office
Facility Name COLUMBIA PAIN MANAGEMENT PC
Street 3601 KLINDT DRIVE SUITE 200
City THE DALLES
State OR
ZIP 97058
Phone 541 386-9500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director PETER KOSEK

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