42D2321117 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 42D2321117
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 1506 N FANT STREET
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 260-6995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN HUTCHESON
  • NPI Number: 1558174771
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 42D2321117
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 1506 N FANT STREET
City ANDERSON
State SC
ZIP 29621
Phone 864 260-6995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director JUSTIN HUTCHESON

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