CLIA lab

CLIA 10D2179504: Pain Management Group, the

Crestview, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2179504 belongs to Pain Management Group, the in Crestview, FL.

Certificate of Waiver, effective February 25, 2026, expires February 24, 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
February 25, 2026
Certificate expiration
February 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2020
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
10D2179504
Lab name
Pain Management Group, the
Address
150 E Redstone Ave Suite A, Crestview, FL 32539
Phone
(850) 475-2668
Fax
(850) 475-2669

Annual test volume the lab reported

Waived tests
1,250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Crestview, FL

Related

Questions

What is the CLIA number for Pain Management Group, the in Crestview?

10D2179504, 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 10D2179504 expire?

The CMS file lists February 24, 2028 as the certificate expiration date; the certificate took effect February 25, 2026.

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