CLIA lab
CLIA 11D0965220: East West Surgery Center
Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0965220 belongs to East West Surgery Center in Austell, GA.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 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
- 11D0965220
- Lab name
- East West Surgery Center
- Address
- 2041 Mesa Valley Way Ste 125, Austell, GA 30106
- Phone
- (678) 309-8100
- Fax
- (678) 400-3834
Annual test volume the lab reported
- Waived tests
- 275
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 East West Surgery Center in Austell?
11D0965220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East West Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0965220 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.