42D2321121 CLIA NUMBER - COMMONWEALTH PAIN ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 42D2321121
  • Facility Name: COMMONWEALTH PAIN ASSOCIATES PLLC
  • Facility Address: 10 ENTERPRISE BLVD STE 201
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 295-6399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUSTIN HUTCHESON
  • NPI Number: 1124831342
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 42D2321121
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN ASSOCIATES PLLC
Street 10 ENTERPRISE BLVD STE 201
City GREENVILLE
State SC
ZIP 29615
Phone 864 295-6399
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