42D2158248 CLIA NUMBER - PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 42D2158248
  • Facility Name: PAIN MANAGEMENT CENTER
  • Facility Address: 1325 SPRING ST ATTN CATHY SPERRY
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 864 725-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP C. LATOURETTE
  • NPI Number: 1346504792
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2158248
LAB Type Physician Office
Facility Name PAIN MANAGEMENT CENTER
Street 1325 SPRING ST ATTN CATHY SPERRY
City GREENWOOD
State SC
ZIP 29646
Phone 864 725-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director PHILLIP C. LATOURETTE

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