11D2300669 CLIA NUMBER - GEORGIA INTERVENTIONAL PAIN- P, LLC

Laboratory Demographics

  • CLIA Code: 11D2300669
  • Facility Name: GEORGIA INTERVENTIONAL PAIN- P, LLC
  • Facility Address: 1846 WARM SPRINGS ROAD, SUITE 102
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 770 962-3642
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMIT S. PATEL
  • NPI Number: 1194283267
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2300669
LAB Type Ambulatory Surgery Center
Facility Name GEORGIA INTERVENTIONAL PAIN- P, LLC
Street 1846 WARM SPRINGS ROAD, SUITE 102
City COLUMBUS
State GA
ZIP 31904
Phone 770 962-3642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Ambulatory Surgery Center
Lab Director AMIT S. PATEL

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