45D1054869 CLIA NUMBER - COMPREHENSIVE PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 45D1054869
  • Facility Name: COMPREHENSIVE PAIN MANAGEMENT
  • Facility Address: 3201 AIRLINE ROAD, STE K
    CORPUS CHRISTI, TX
    ZIP 78414
  • Facility Phone: 361 882-4452
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN N. POTTER
  • NPI Number: 1639103674
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D1054869
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN MANAGEMENT
Street 3201 AIRLINE ROAD, STE K
City CORPUS CHRISTI
State TX
ZIP 78414
Phone 361 882-4452
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director RYAN N. POTTER

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