42D1094637 CLIA NUMBER - PAIN SPECIALISTS OF CHARLESTON, PA

Laboratory Demographics

CLIA Number: 42D1094637

Facility Name: PAIN SPECIALISTS OF CHARLESTON, PA

Facility Address:
2675 ELMS PLANTATION, THIRD FLOOR
CHARLESTON, SC
ZIP 29406
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Facility Phone Number: 843 818-1181

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1487120622

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	42D1094637
LAB Type	Physician Office
Facility Name	PAIN SPECIALISTS OF CHARLESTON, PA
Street	2675 ELMS PLANTATION, THIRD FLOOR
City	CHARLESTON
State	SC
ZIP	29406
Phone	843 818-1181
CertificateType	1
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024