CLIA lab

CLIA 11D1012843: Ambulatory Surgical Treatment Center

Savannah, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1012843 belongs to Ambulatory Surgical Treatment Center in Savannah, GA.

Certificate of Waiver, effective May 22, 2025, expires May 21, 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
May 22, 2025
Certificate expiration
May 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 22, 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
11D1012843
Lab name
Ambulatory Surgical Treatment Center
Additional name
DBA Renewal ASC
Address
900 Mohawk Street Suite A, Savannah, GA 31419
Phone
(912) 920-2090
Fax
(912) 920-4114

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 Ambulatory Surgical Treatment Center in Savannah?

11D1012843, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ambulatory Surgical Treatment Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1012843 expire?

The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.

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