11D2265504 CLIA NUMBER - ALIGN SPINE AND PAIN INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 11D2265504
  • Facility Name: ALIGN SPINE AND PAIN INSTITUTE, LLC
  • Facility Address: 960 HOLCOMB BRIDGE ROAD SUITE 150
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 770 988-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH A. KUNDUKULAM
  • NPI Number: 1457011199
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 11D2265504
LAB Type Physician Office
Facility Name ALIGN SPINE AND PAIN INSTITUTE, LLC
Street 960 HOLCOMB BRIDGE ROAD SUITE 150
City ROSWELL
State GA
ZIP 30076
Phone 770 988-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director JOSEPH A. KUNDUKULAM

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