45D2069982 CLIA NUMBER - TEXAS PAIN RELIEF GROUP

Laboratory Demographics

  • CLIA Code: 45D2069982
  • Facility Name: TEXAS PAIN RELIEF GROUP
  • Facility Address: 1717 PRECINCT LINE RD SUITE 200
    HURST, TX
    ZIP 76054
  • Facility Phone: 817 369-3990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER SMITH
  • NPI Number: 1003246299
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2069982
LAB Type Physician Office
Facility Name TEXAS PAIN RELIEF GROUP
Street 1717 PRECINCT LINE RD SUITE 200
City HURST
State TX
ZIP 76054
Phone 817 369-3990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director JENNIFER SMITH

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