53D2149246 CLIA NUMBER - PAIN CARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 53D2149246
  • Facility Name: PAIN CARE CENTER LLC
  • Facility Address: 5850 EAST 2ND STREET, STE 100
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 212-6270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JED SHAY
  • NPI Number: 1962937441
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 53D2149246
LAB Type Physician Office
Facility Name PAIN CARE CENTER LLC
Street 5850 EAST 2ND STREET, STE 100
City CASPER
State WY
ZIP 82609
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 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director DR. JED SHAY

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