11D1078160 CLIA NUMBER - SOUTHEAST REGIONAL PAIN CENTER

Laboratory Demographics

  • CLIA Code: 11D1078160
  • Facility Name: SOUTHEAST REGIONAL PAIN CENTER
  • Facility Address: 5669 WHITESVILLE ROAD
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 919 776-8791
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SUSAN M. ORTON
  • NPI Number: 1194833970
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1078160
LAB Type Physician Office
Facility Name SOUTHEAST REGIONAL PAIN CENTER
Street 5669 WHITESVILLE ROAD
City COLUMBUS
State GA
ZIP 31904
Phone 919 776-8791
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DR. SUSAN M. ORTON

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