11D2104304 CLIA NUMBER - THE HEMLOCK PAIN CENTER, LLC

Laboratory Demographics

CLIA Number: 11D2104304

Facility Name: THE HEMLOCK PAIN CENTER, LLC

Facility Address:
504 OSIGNIAN BLVD, SUITE 6
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 333-6444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932576865

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	11D2104304
LAB Type	Physician Office
Facility Name	THE HEMLOCK PAIN CENTER, LLC
Street	504 OSIGNIAN BLVD, SUITE 6
City	WARNER ROBINS
State	GA
ZIP	31088
Phone	478 333-6444
CertificateType	4
CertificateEffectiveDate	11/2/2023
CertificateExpirationDate	11/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024