11D2306668 CLIA NUMBER - CENTER FOR SPINE INTERVENTIONS, PC

Laboratory Demographics

  • CLIA Code: 11D2306668
  • Facility Name: CENTER FOR SPINE INTERVENTIONS, PC
  • Facility Address: 2713 CHARLES HARDY PKWY, STE 212
    DALLAS, GA
    ZIP 30157
  • Facility Phone: 678 813-2741
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HEATHER VATTER
  • NPI Number: 1700389822
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2306668
LAB Type Physician Office
Facility Name CENTER FOR SPINE INTERVENTIONS, PC
Street 2713 CHARLES HARDY PKWY, STE 212
City DALLAS
State GA
ZIP 30157
Phone 678 813-2741
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director HEATHER VATTER

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