11D1005847 CLIA NUMBER - COMPREHENSIVE PAIN CARE PC

Laboratory Demographics

  • CLIA Code: 11D1005847
  • Facility Name: COMPREHENSIVE PAIN CARE PC
  • Facility Address: 833 CAMPBELL HILL STREET, SUITE 112
    MARIETTA, GA
    ZIP 30060
  • Facility Phone: 770 421-0095
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD R. TAYLOR
  • NPI Number: 1811184575
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1005847
LAB Type Physician Office
Facility Name COMPREHENSIVE PAIN CARE PC
Street 833 CAMPBELL HILL STREET, SUITE 112
City MARIETTA
State GA
ZIP 30060
Phone 770 421-0095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DONALD R. TAYLOR

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