CLIA lab
CLIA 11D0907507: Gynecology Issues PC
Lithia Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0907507 belongs to Gynecology Issues PC in Lithia Springs, GA.
Certificate for Provider-Performed Microscopy Procedures, effective October 16, 2025, expires October 15, 2027.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 16, 2025
- Certificate expiration
- October 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0907507
- Lab name
- Gynecology Issues PC
- Address
- 880 Crestmark Drive, Suite 100, Lithia Springs, GA 30122
- Phone
- (770) 732-7989
- Fax
- (770) 732-2989
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Gynecology Issues PC in Lithia Springs?
11D0907507, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gynecology Issues PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0907507 expire?
The CMS file lists October 15, 2027 as the certificate expiration date; the certificate took effect October 16, 2025.