11D2049696 CLIA NUMBER - CENTER FOR SPINE INTERVENTIONS

Laboratory Demographics

  • CLIA Code: 11D2049696
  • Facility Name: CENTER FOR SPINE INTERVENTIONS
  • Facility Address: 2713 CHARLES HARDY PARKWAY, SUITE 222
    DALLAS, GA
    ZIP 30157
  • Facility Phone: 678 813-2741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANATHA KAMATH
  • NPI Number: 1801228481
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2049696
LAB Type Physician Office
Facility Name CENTER FOR SPINE INTERVENTIONS
Street 2713 CHARLES HARDY PARKWAY, SUITE 222
City DALLAS
State GA
ZIP 30157
Phone 678 813-2741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director ANATHA KAMATH

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