11D1100637 CLIA NUMBER - ATHENS SPINE CENTER PC

Laboratory Demographics

  • CLIA Code: 11D1100637
  • Facility Name: ATHENS SPINE CENTER PC
  • Facility Address: 830 KING AVENUE
    ATHENS, GA
    ZIP 30606
  • Facility Phone: 706 425-2400
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL D. DAVIS
  • NPI Number: 1649790171
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1100637
LAB Type Physician Office
Facility Name ATHENS SPINE CENTER PC
Street 830 KING AVENUE
City ATHENS
State GA
ZIP 30606
Phone 706 425-2400
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. MICHAEL D. DAVIS

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