39D2039286 CLIA NUMBER - PREMIER PAIN PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 39D2039286
  • Facility Name: PREMIER PAIN PROFESSIONALS
  • Facility Address: 121 PROGRESS AVE, LOSCH PLAZA SUITE 120
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 570 622-5616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ASHOK KUMAR MD
  • NPI Number: 1497902910
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 39D2039286
LAB Type Physician Office
Facility Name PREMIER PAIN PROFESSIONALS
Street 121 PROGRESS AVE, LOSCH PLAZA SUITE 120
City POTTSVILLE
State PA
ZIP 17901
Phone 570 622-5616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director DR. ASHOK KUMAR MD

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