44D2306062 CLIA NUMBER - INTERVENTIONAL PAIN CONSULTANTS

Laboratory Demographics

  • CLIA Code: 44D2306062
  • Facility Name: INTERVENTIONAL PAIN CONSULTANTS
  • Facility Address: 2550 BUSINESS PARK DR NE
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 423 339-9581
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA HARE
  • NPI Number: 1861190779
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D2306062
LAB Type Physician Office
Facility Name INTERVENTIONAL PAIN CONSULTANTS
Street 2550 BUSINESS PARK DR NE
City CLEVELAND
State TN
ZIP 37311
Phone 423 339-9581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Physician Office
Lab Director JOSHUA HARE

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