CLIA lab
CLIA 11D0712701: Carrollton Surgical Group
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0712701 belongs to Carrollton Surgical Group in Carrollton, GA.
Certificate of Waiver, effective September 30, 2026, expires September 29, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 30, 2026
- Certificate expiration
- September 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 1993
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0712701
- Lab name
- Carrollton Surgical Group
- Address
- 157 Clinic Avenue Suite 302, Carrollton, GA 30117
- Phone
- (770) 834-3336
- Fax
- (770) 832-2331
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Carrollton, GA
- 3 16 Family Medicine Urgent Care & InfusionCertificate of Waiver, Physician office11D2286408
- 3 16 Family Medicine- CarrolltonCertificate of Waiver, Physician office11D2229102
- 3 16 Kids Corner- CarrolltonCertificate of Waiver, Physician office11D2342098
- Air Evac EMS, Inc Air Evac #112Certificate of Waiver, Ambulance11D2065712
- Arrow PharmacyCertificate of Waiver, Pharmacy11D2236221
- Associated Pathologist, LLC DBA Pathgroup (Tanner)Certificate of Accreditation, Independent11D2272308
- Barclay House of CarrolltonCertificate of Waiver, Assisted living facility11D2195399
- Brookdale CarrolltonCertificate of Waiver, Assisted living facility11D0982207
- Carroll County Child Advocacy Center IncCertificate of Waiver, Other11D2306882
- Carroll County JailCertificate of Waiver, Other11D1001632
Related
Questions
What is the CLIA number for Carrollton Surgical Group in Carrollton?
11D0712701, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carrollton Surgical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0712701 expire?
The CMS file lists September 29, 2028 as the certificate expiration date; the certificate took effect September 30, 2026.