11D2104304 CLIA NUMBER - THE HEMLOCK PAIN CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2104304
  • Facility Name: THE HEMLOCK PAIN CENTER, LLC
  • Facility Address: 504 OSIGNIAN BLVD, SUITE 6
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 333-6444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN N. TAFOR
  • NPI Number: 1932576865
  • Taxonomy: 208VP0014X - Pain Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director STEPHEN N. TAFOR

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