11D2248994 CLIA NUMBER - CENTURION SPINE AND PAIN

Laboratory Demographics

  • CLIA Code: 11D2248994
  • Facility Name: CENTURION SPINE AND PAIN
  • Facility Address: 1218 ALICE STREET
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 324-7544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY METZGER
  • NPI Number: 1134769714
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2248994
LAB Type Physician Office
Facility Name CENTURION SPINE AND PAIN
Street 1218 ALICE STREET
City WAYCROSS
State GA
ZIP 31501
Phone 912 324-7544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director HOLLY METZGER

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