42D2172499 CLIA NUMBER - SUPERIOR PAIN MANAGEMENT, PC

Laboratory Demographics

  • CLIA Code: 42D2172499
  • Facility Name: SUPERIOR PAIN MANAGEMENT, PC
  • Facility Address: 108 MONTGOMERY DRIVE
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 225-5597
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAY S. PATEL
  • NPI Number: 1245796812
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2172499
LAB Type Physician Office
Facility Name SUPERIOR PAIN MANAGEMENT, PC
Street 108 MONTGOMERY DRIVE
City ANDERSON
State SC
ZIP 29621
Phone 864 225-5597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director JAY S. PATEL

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