53D2030300 CLIA NUMBER - PAIN CARE CENTER

Laboratory Demographics

  • CLIA Code: 53D2030300
  • Facility Name: PAIN CARE CENTER
  • Facility Address: 2620 COMMERCIAL WAY, STE 20
    ROCK SPRINGS, WY
    ZIP 82901
  • Facility Phone: 307 212-6270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JED SHAY
  • NPI Number: 1891390118
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 53D2030300
LAB Type Physician Office
Facility Name PAIN CARE CENTER
Street 2620 COMMERCIAL WAY, STE 20
City ROCK SPRINGS
State WY
ZIP 82901
Phone 307 212-6270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director DR. JED SHAY

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