CLIA lab
CLIA 11D1011774: Gainesville Urology ASC LLC
Gainesville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1011774 belongs to Gainesville Urology ASC LLC in Gainesville, GA.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2003
- 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
- 11D1011774
- Lab name
- Gainesville Urology ASC LLC
- Address
- 1240 Jessie Jewell Parkway 250, Gainesville, GA 30501
- Phone
- (770) 287-1299
- Fax
- (770) 535-1785
Annual test volume the lab reported
- Waived tests
- 100
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 Gainesville Urology ASC LLC in Gainesville?
11D1011774, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gainesville Urology ASC LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1011774 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.