44D1093926 CLIA NUMBER - SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D1093926
  • Facility Name: SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
  • Facility Address: 101 MED TECH PKWY SUITE 200
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 423 232-6120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN E. BLAKE III
  • NPI Number: 1477594364
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 44D1093926
LAB Type Physician Office
Facility Name SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
Street 101 MED TECH PKWY SUITE 200
City JOHNSON CITY
State TN
ZIP 37604
Phone 423 232-6120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director JOHN E. BLAKE III

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