11D1104611 CLIA NUMBER - ROYAL PAIN CENTER PC

Laboratory Demographics

  • CLIA Code: 11D1104611
  • Facility Name: ROYAL PAIN CENTER PC
  • Facility Address: 2922 PROFESSIONAL PARKWAY
    AUGUSTA, GA
    ZIP 30907
  • Facility Phone: 706 855-2767
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. DOWNEY
  • NPI Number: 1396905816
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 11D1104611
LAB Type Physician Office
Facility Name ROYAL PAIN CENTER PC
Street 2922 PROFESSIONAL PARKWAY
City AUGUSTA
State GA
ZIP 30907
Phone 706 855-2767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director JOHN M. DOWNEY

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