11D1103700 CLIA NUMBER - SPECIALTY SPINE AND PAIN

Laboratory Demographics

  • CLIA Code: 11D1103700
  • Facility Name: SPECIALTY SPINE AND PAIN
  • Facility Address: 5005 LANIER ISLAND PKWY SUITE 100
    BUFORD, GA
    ZIP 30518
  • Facility Phone: 770 297-7277
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ALICE SCHULTZ
  • NPI Number: 1659912665
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1103700
LAB Type Physician Office
Facility Name SPECIALTY SPINE AND PAIN
Street 5005 LANIER ISLAND PKWY SUITE 100
City BUFORD
State GA
ZIP 30518
Phone 770 297-7277
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 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. ALICE SCHULTZ

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