45D2269468 CLIA NUMBER - REGEN PAIN MANAGEMENT

Laboratory Demographics

CLIA Number: 45D2269468

Facility Name: REGEN PAIN MANAGEMENT

Facility Address:
11500 HWY 121 BLDG 400, STE 420
FRISCO, TX
ZIP 75035
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Facility Phone Number: 469 252-4777

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1104481233

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	45D2269468
LAB Type	Physician Office
Facility Name	REGEN PAIN MANAGEMENT
Street	11500 HWY 121 BLDG 400, STE 420
City	FRISCO
State	TX
ZIP	75035
Phone	469 252-4777
CertificateType	1
CertificateEffectiveDate	9/27/2022
CertificateExpirationDate	9/26/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024