11D2000436 CLIA NUMBER - ADVANCED PAIN MANGEMENT

Laboratory Demographics

  • CLIA Code: 11D2000436
  • Facility Name: ADVANCED PAIN MANGEMENT
  • Facility Address: 404 TOWN PARK BLVD, SUITE 101
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 922-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEMANT YAGNICK
  • NPI Number: 1538227566
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 11D2000436
LAB Type Physician Office
Facility Name ADVANCED PAIN MANGEMENT
Street 404 TOWN PARK BLVD, SUITE 101
City EVANS
State GA
ZIP 30809
Phone 706 922-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director HEMANT YAGNICK

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