11D2161394 CLIA NUMBER - TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN

Laboratory Demographics

  • CLIA Code: 11D2161394
  • Facility Name: TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN
  • Facility Address: 1075 LAFAYETTE PARKWAY, SUITE 100
    LAGRANGE, GA
    ZIP 30241
  • Facility Phone: 706 443-5273
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PATRICIA ALLEN
  • NPI Number: 1609143502
  • Taxonomy: 208VP0014X - Pain Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2161394
LAB Type Physician Office
Facility Name TOTAL DIAGNOSTIC AND INTERVENTIONAL PAIN
Street 1075 LAFAYETTE PARKWAY, SUITE 100
City LAGRANGE
State GA
ZIP 30241
Phone 706 443-5273
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director DR. PATRICIA ALLEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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