44D1041380 CLIA NUMBER - FORD CENTER FOR PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 44D1041380
  • Facility Name: FORD CENTER FOR PAIN MANAGEMENT
  • Facility Address: 2020 KEITH STREET NW, SUITE C
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 614-0535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DENNIS C. FORD
  • NPI Number: 1619009065
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1041380
LAB Type Physician Office
Facility Name FORD CENTER FOR PAIN MANAGEMENT
Street 2020 KEITH STREET NW, SUITE C
City CLEVELAND
State TN
ZIP 37311
Phone 423 614-0535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director DR. DENNIS C. FORD

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