44D2147273 CLIA NUMBER - SPECTRUM PAIN CLINIC

Laboratory Demographics

  • CLIA Code: 44D2147273
  • Facility Name: SPECTRUM PAIN CLINIC
  • Facility Address: 8132 CORDOVA ROAD
    CORDOVA, TN
    ZIP 38016
  • Facility Phone: 901 405-6470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFF HALL
  • NPI Number: 1326526930
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2147273
LAB Type Physician Office
Facility Name SPECTRUM PAIN CLINIC
Street 8132 CORDOVA ROAD
City CORDOVA
State TN
ZIP 38016
Phone 901 405-6470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director DR. JEFF HALL

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