CLIA lab
CLIA 11D0963955: Ambulatory Laser & Surgery Center
Forest Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0963955 belongs to Ambulatory Laser & Surgery Center in Forest Park, GA.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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 of Waiver
- Certificate effective
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 1999
- Facility type
- Ambulatory surgery center
- 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
- 11D0963955
- Lab name
- Ambulatory Laser & Surgery Center
- Address
- 425 Forest Pkwy Ste 103, Forest Park, GA 30297
- Phone
- (404) 363-9944
- Fax
- (404) 363-9951
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Forest Park, GA
- Aptive Diagnostics LLCCertificate of Waiver, Mobile lab11D2284281
- Ash Morrow Medical Center, IncCertificate of Waiver, Physician office11D2037109
- Clayton Transitional CenterCertificate of Waiver, Prison11D2244530
- Clear Medical ConceptsCertificate of Waiver, Physician office11D2075935
- Comfortlink Healthcare, LLCCertificate of Waiver, Other11D2300034
- Daffodil Pediatrics & Family MedicineCertificate of Waiver, Physician office11D0680713
- Forest Park Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility11D0983603
- Forest Park Fire and Emrgency ServicesCertificate of Waiver, Ambulance11D2249853
- Gentle Care Medical TransportationCertificate of Waiver, Ambulance11D2298791
- Gold Coast DiagnosticsCertificate of Compliance, Independent11D2194982
Related
Questions
What is the CLIA number for Ambulatory Laser & Surgery Center in Forest Park?
11D0963955, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ambulatory Laser & Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0963955 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.