49D2016662 CLIA NUMBER - CHARLOTTESVILLE PAIN MANAGEMENT CENTER

Laboratory Demographics

CLIA Number: 49D2016662

Facility Name: CHARLOTTESVILLE PAIN MANAGEMENT CENTER

Facility Address:
2050 ABBEY ROAD - SUITE A
CHARLOTTESVILLE, VA
ZIP 22911
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Facility Phone Number: 434 295-3600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366952848

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name Field Value
CLIA Number 49D2016662
LAB Type Physician Office
Facility Name CHARLOTTESVILLE PAIN MANAGEMENT CENTER
Street 2050 ABBEY ROAD - SUITE A
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 295-3600
CertificateType 4
CertificateEffectiveDate 11/22/2022
CertificateExpirationDate 11/21/2024
FacilityType Waiver

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