44D1060764 CLIA NUMBER - SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D1060764
  • Facility Name: SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
  • Facility Address: 2202 N JOHN B DENNIS HWY
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: (423) 392-6690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. BLAKE III
  • NPI Number: 1447203922
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1060764
LAB Type Physician Office
Facility Name SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
Street 2202 N JOHN B DENNIS HWY
City KINGSPORT
State TN
ZIP 37660
Phone 4233926690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director JOHN E. BLAKE III

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This page was last updated on: 5/18/2026