45D2181032 CLIA NUMBER - TRICITY PAIN ASSOCIATES, PA

Laboratory Demographics

  • CLIA Code: 45D2181032
  • Facility Name: TRICITY PAIN ASSOCIATES, PA
  • Facility Address: 4325 N JOSEY LANE, PLAZA III SUITE 206
    CARROLLTON, TX
    ZIP 75010
  • Facility Phone: 210 777-0150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA SHROLL
  • NPI Number: 1568095891
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2181032
LAB Type Physician Office
Facility Name TRICITY PAIN ASSOCIATES, PA
Street 4325 N JOSEY LANE, PLAZA III SUITE 206
City CARROLLTON
State TX
ZIP 75010
Phone 210 777-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director JOSHUA SHROLL

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