44D2082259 CLIA NUMBER - SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 44D2082259
  • Facility Name: SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
  • Facility Address: 4957 SWINYAR DR STE 101
    OOLTEWAH, TN
    ZIP 37363
  • Facility Phone: 423 362-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN E. BLAKE III
  • NPI Number: 1568867992
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2082259
LAB Type Physician Office
Facility Name SPECIALISTS IN PAIN MANAGEMENT, PLLC DBA SPINE & PAIN ASSOCIATES
Street 4957 SWINYAR DR STE 101
City OOLTEWAH
State TN
ZIP 37363
Phone 423 362-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director DR. JOHN E. BLAKE III

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