39D2165224 CLIA NUMBER - SE PA PAIN MANAGEMENT, LTD

Laboratory Demographics

  • CLIA Code: 39D2165224
  • Facility Name: SE PA PAIN MANAGEMENT, LTD
  • Facility Address: 508 PRUDENTIAL RD, SUITE 500
    HORSHAM, PA
    ZIP 19044
  • Facility Phone: 855 235-7246
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DEAN F. FRITCH
  • NPI Number: 1598149189
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 39D2165224
LAB Type Physician Office
Facility Name SE PA PAIN MANAGEMENT, LTD
Street 508 PRUDENTIAL RD, SUITE 500
City HORSHAM
State PA
ZIP 19044
Phone 855 235-7246
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director DR. DEAN F. FRITCH

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