CLIA lab

CLIA 11D1040015: Ambulatory Plastic Surgery Center Incorporate

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

CLIA number 11D1040015 belongs to Ambulatory Plastic Surgery Center Incorporate in Columbus, GA.

Certificate of Waiver, effective April 27, 2025, expires April 26, 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 27, 2025
Certificate expiration
April 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 27, 2005
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
11D1040015
Lab name
Ambulatory Plastic Surgery Center Incorporate
Address
2522 Warm Springs Road, Columbus, GA 31904
Phone
(706) 322-9313
Fax
(706) 322-9314

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Ambulatory Plastic Surgery Center Incorporate in Columbus?

11D1040015, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ambulatory Plastic Surgery Center Incorporate hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1040015 expire?

The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.

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