49D1062006 CLIA NUMBER - COMMONWEALTH PAIN SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 49D1062006
  • Facility Name: COMMONWEALTH PAIN SPECIALISTS, LLC
  • Facility Address: 1501 MAPLE AVENUE - SUITE 301
    RICHMOND, VA
    ZIP 23226
  • Facility Phone: 804 288-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN P. LONG, MD
  • NPI Number: 1215124870
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1062006
LAB Type Physician Office
Facility Name COMMONWEALTH PAIN SPECIALISTS, LLC
Street 1501 MAPLE AVENUE - SUITE 301
City RICHMOND
State VA
ZIP 23226
Phone 804 288-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director STEPHEN P. LONG, MD

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