11D2189015 CLIA NUMBER - COMPREHENSIVE SPINE AND PAIN- SANDY SPRINGS

Laboratory Demographics

  • CLIA Code: 11D2189015
  • Facility Name: COMPREHENSIVE SPINE AND PAIN- SANDY SPRINGS
  • Facility Address: 5505 ROSWELL ROAD SUITE 350 #A
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 770 627-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VK PUPPULA
  • NPI Number: 1861909533
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2189015
LAB Type Physician Office
Facility Name COMPREHENSIVE SPINE AND PAIN- SANDY SPRINGS
Street 5505 ROSWELL ROAD SUITE 350 #A
City ATLANTA
State GA
ZIP 30342
Phone 770 627-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director VK PUPPULA

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