45D1084025 CLIA NUMBER - TEXAS INTERVENTIONAL PAIN CARE, PA

Laboratory Demographics

  • CLIA Code: 45D1084025
  • Facility Name: TEXAS INTERVENTIONAL PAIN CARE, PA
  • Facility Address: 2201 N CENTRAL EXPRESSWAY, SUITE 171
    RICHARDSON, TX
    ZIP 75080
  • Facility Phone: 972 952-0290
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARIF B. KHAN
  • NPI Number: 1396929337
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1084025
LAB Type Physician Office
Facility Name TEXAS INTERVENTIONAL PAIN CARE, PA
Street 2201 N CENTRAL EXPRESSWAY, SUITE 171
City RICHARDSON
State TX
ZIP 75080
Phone 972 952-0290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director ARIF B. KHAN

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