42D2217630 CLIA NUMBER - PAWLEYS ISLAND PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 42D2217630
  • Facility Name: PAWLEYS ISLAND PAIN MANAGEMENT
  • Facility Address: 313 COMMERCE DR SUITE B
    PAWLEYS ISLAND, SC
    ZIP 29585
  • Facility Phone: 843 894-0978
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PATRICIA R. GRANT
  • NPI Number: 1366580276
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D2217630
LAB Type Physician Office
Facility Name PAWLEYS ISLAND PAIN MANAGEMENT
Street 313 COMMERCE DR SUITE B
City PAWLEYS ISLAND
State SC
ZIP 29585
Phone 843 894-0978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director DR. PATRICIA R. GRANT

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