45D1097403 CLIA NUMBER - LONE STAR PAIN MEDICINE

Laboratory Demographics

  • CLIA Code: 45D1097403
  • Facility Name: LONE STAR PAIN MEDICINE
  • Facility Address: 1308 PALUXY ROAD
    GRANBURY, TX
    ZIP 76048
  • Facility Phone: 817 599-4901
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON PAUL HARMER MD
  • NPI Number: 1124383666
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 45D1097403
LAB Type Physician Office
Facility Name LONE STAR PAIN MEDICINE
Street 1308 PALUXY ROAD
City GRANBURY
State TX
ZIP 76048
Phone 817 599-4901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director JON PAUL HARMER MD

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