49D2016662 CLIA NUMBER - CHARLOTTESVILLE PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 49D2016662
  • Facility Name: CHARLOTTESVILLE PAIN MANAGEMENT CENTER
  • Facility Address: 2050 ABBEY ROAD - SUITE A
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 295-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERRI S. JOHNSON
  • NPI Number: 1366952848
  • Taxonomy: 208VP0014X - Pain Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Physician Office
Lab Director SHERRI S. JOHNSON

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