45D2165329 CLIA NUMBER - CHRONIC PAIN RELIEF, PA

Laboratory Demographics

  • CLIA Code: 45D2165329
  • Facility Name: CHRONIC PAIN RELIEF, PA
  • Facility Address: 3453 SAINT FRANCIS AVE SUITE 100
    DALLAS, TX
    ZIP 75228
  • Facility Phone: 214 983-1787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BASEM ABDELFATTAH
  • NPI Number: 1568971141
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2165329
LAB Type Physician Office
Facility Name CHRONIC PAIN RELIEF, PA
Street 3453 SAINT FRANCIS AVE SUITE 100
City DALLAS
State TX
ZIP 75228
Phone 214 983-1787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director BASEM ABDELFATTAH

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