42D1088831 CLIA NUMBER - CSRA PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 42D1088831
  • Facility Name: CSRA PAIN MANAGEMENT
  • Facility Address: 1168 W MARTINTOWN RD
    NORTH AUGUSTA, SC
    ZIP 29841
  • Facility Phone: 803 202-0053
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN L. SLOAN, MD
  • NPI Number: 1922000702
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 42D1088831
LAB Type Physician Office
Facility Name CSRA PAIN MANAGEMENT
Street 1168 W MARTINTOWN RD
City NORTH AUGUSTA
State SC
ZIP 29841
Phone 803 202-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director ALLEN L. SLOAN, MD

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