44D2114108 CLIA NUMBER - JOINT AND SPINE PAIN CENTER, THE

Laboratory Demographics

  • CLIA Code: 44D2114108
  • Facility Name: JOINT AND SPINE PAIN CENTER, THE
  • Facility Address: 130 ALFREDO DR, BUILDING 3, SUITE F
    CLARKSVILLE, TN
    ZIP 37042
  • Facility Phone: 931 919-3813
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID MENDOZA
  • NPI Number: 1245233063
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2114108
LAB Type Physician Office
Facility Name JOINT AND SPINE PAIN CENTER, THE
Street 130 ALFREDO DR, BUILDING 3, SUITE F
City CLARKSVILLE
State TN
ZIP 37042
Phone 931 919-3813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director DAVID MENDOZA

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