11D2145567 CLIA NUMBER - THE PAIN RELIEF CENTER OF GEORGIA

Laboratory Demographics

  • CLIA Code: 11D2145567
  • Facility Name: THE PAIN RELIEF CENTER OF GEORGIA
  • Facility Address: 101 YORKTOWN DRIVE SUITE 211
    FAYETTEVILLE, GA
    ZIP 30214
  • Facility Phone: 470 481-2020
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: IDI ALLEN
  • NPI Number: 1942693478
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2145567
LAB Type Physician Office
Facility Name THE PAIN RELIEF CENTER OF GEORGIA
Street 101 YORKTOWN DRIVE SUITE 211
City FAYETTEVILLE
State GA
ZIP 30214
Phone 470 481-2020
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/21/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director IDI ALLEN

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