CLIA lab
CLIA 11D1040575: Georgia Pain Spine Center LLC
Cartersville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1040575 belongs to Georgia Pain Spine Center LLC in Cartersville, GA.
Certificate of Waiver, effective May 12, 2025, expires May 11, 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 12, 2025
- Certificate expiration
- May 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 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
- 11D1040575
- Lab name
- Georgia Pain Spine Center LLC
- Address
- 15 Medical Drive, Suite 302, Cartersville, GA 30121
- Phone
- (770) 590-1078
- Fax
- (678) 357-3154
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Affinis Hospice, LLCCertificate of Waiver, Hospice11D1077238
- Aga, LLC DBA Atlanta Gastroenterology AssociatesCertificate of Waiver, Physician office11D2348117
- Agc Pediatric LLCCertificate of Waiver, Physician office11D1076789
- Alan Kozarsky, MDCertificate of Waiver, Physician office11D2190849
- Amedisys Hospice Care of CartersvilleCertificate of Waiver, Hospice11D1078954
- Atrium Health Floyd Primary CareCertificate of Waiver, Physician office11D0922666
- Bartow County Fire and Emergency ServicesCertificate of Waiver, Ambulance11D2197707
Related
Questions
What is the CLIA number for Georgia Pain Spine Center LLC in Cartersville?
11D1040575, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Pain Spine Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1040575 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.