11D1103698 CLIA NUMBER - SPECIALTY SPINE AND PAIN, PC

Laboratory Demographics

  • CLIA Code: 11D1103698
  • Facility Name: SPECIALTY SPINE AND PAIN, PC
  • Facility Address: 1250 JESSE JEWELL PARKWAY SUITE 200
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 678 450-3999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRAXTON B. TURNER
  • NPI Number: 1184380818
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D1103698
LAB Type Physician Office
Facility Name SPECIALTY SPINE AND PAIN, PC
Street 1250 JESSE JEWELL PARKWAY SUITE 200
City GAINESVILLE
State GA
ZIP 30501
Phone 678 450-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director DR. BRAXTON B. TURNER

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