01D1075637 CLIA NUMBER - SOUTHERN PAIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 01D1075637
  • Facility Name: SOUTHERN PAIN SPECIALISTS
  • Facility Address: 7500 HUGH DANIEL DRIVE SUITE 360
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 995-9967
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH G. VARLEY
  • NPI Number: 1164081519
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 01D1075637
LAB Type Physician Office
Facility Name SOUTHERN PAIN SPECIALISTS
Street 7500 HUGH DANIEL DRIVE SUITE 360
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 995-9967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director KENNETH G. VARLEY

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