CLIA lab
CLIA 11D0969764: Tec Lagrange Surgery Center
Lagrange, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0969764 belongs to Tec Lagrange Surgery Center in Lagrange, GA.
Certificate of Waiver, effective January 25, 2026, expires January 24, 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
- January 25, 2026
- Certificate expiration
- January 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2000
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- 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
- 11D0969764
- Lab name
- Tec Lagrange Surgery Center
- Address
- 1805 Vernon Road Suite C, Lagrange, GA 30240
- Phone
- (706) 812-9902
- Fax
- (706) 812-0802
Annual test volume the lab reported
- Waived tests
- 1,350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lagrange, GA
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- Adoration Home Health of Columbus, LLCCertificate of Waiver, Home health agency11D2023224
- Air Evac 77Certificate of Waiver, Ambulance11D1088184
- Andre D Feria, MD, PCCertificate of Waiver, Physician office11D2174010
- Apex Medical Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center11D2110521
- Children's Clinic, theCertificate of Compliance, Physician office11D0257514
- Crossroads Treatment Center of Lagrange, PCCertificate of Waiver, Other11D2090543
- DR Brent Brown and Associates IncorporatedCertificate of Waiver, Physician office11D1099649
- Dialysis Care Center Lagrange, LLCCertificate of Waiver, End stage renal disease dialysis facility11D2293284
- Dialysis Care Center Troup CountyCertificate of Waiver, End stage renal disease dialysis facility11D2321179
Related
Questions
What is the CLIA number for Tec Lagrange Surgery Center in Lagrange?
11D0969764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tec Lagrange Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0969764 expire?
The CMS file lists January 24, 2028 as the certificate expiration date; the certificate took effect January 25, 2026.