42D2153395 CLIA NUMBER - SOUTHERN PAIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 42D2153395
  • Facility Name: SOUTHERN PAIN SPECIALISTS
  • Facility Address: 7601 TWO NOTCH ROAD
    COLUMBIA, SC
    ZIP 29223
  • Facility Phone: 803 419-5345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEPHEN M. TUEL
  • NPI Number: 1861983249
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 42D2153395
LAB Type Physician Office
Facility Name SOUTHERN PAIN SPECIALISTS
Street 7601 TWO NOTCH ROAD
City COLUMBIA
State SC
ZIP 29223
Phone 803 419-5345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director DR. STEPHEN M. TUEL

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