CLIA lab
CLIA 11D1063236: Interventional Spine and Pain Mananagment
Conyers, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1063236 belongs to Interventional Spine and Pain Mananagment in Conyers, GA.
Certificate of Waiver, effective January 9, 2025, expires January 8, 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
- January 9, 2025
- Certificate expiration
- January 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2007
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1063236
- Lab name
- Interventional Spine and Pain Mananagment
- Additional name
- Ambulatory Surgical Center, Incorporate
- Address
- 1388 Wellbrook Circle Suite A, Conyers, GA 30012
- Phone
- (404) 920-4950
- Fax
- (404) 920-4959
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Conyers, GA
- 315 Internal Medicine LLCCertificate of Waiver, Physician office11D2347258
- Accugen DiagnosticsCertificate of Waiver, Mobile lab11D2307789
- Adma Biocenters Georgia, IncCertificate of Compliance, Other11D2224642
- Advanced Urology Institute of Georgia, LLC ConyersCertificate of Waiver, Physician office11D2265486
- Aga, LLCCertificate of Waiver, Physician office11D2029443
- Aga, LLC DBA East Atlanta Gastroenterology AssocCertificate of Waiver, Physician office11D0257046
- Aica Orthopedics, PCCertificate of Waiver, Physician office11D2191753
- Alliance Recovery Center ConyersCertificate of Waiver, Other11D1047300
- Alpha Health and WellnessCertificate of Waiver, Physician office11D2334709
- Analia Home Health Care Services, LLCCertificate of Waiver, Home health agency11D2163282
Related
Questions
What is the CLIA number for Interventional Spine and Pain Mananagment in Conyers?
11D1063236, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Spine and Pain Mananagment hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1063236 expire?
The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.