CLIA lab
CLIA 10D1079081: Pain Management Group, the
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1079081 belongs to Pain Management Group, the in Fort Walton Beach, FL.
Certificate of Waiver, effective June 29, 2026, expires June 28, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 24, 2008
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D1079081
- Lab name
- Pain Management Group, the
- Address
- 103 Pamela Ann Dr Suite 500, Fort Walton Beach, FL 32547
- Phone
- (850) 475-2668
- Fax
- (850) 475-2669
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for Pain Management Group, the in Fort Walton Beach?
10D1079081, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pain Management Group, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1079081 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.