CLIA lab

CLIA 11D1087125: Interventional Spine and Pain Management Center

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

CLIA number 11D1087125 belongs to Interventional Spine and Pain Management Center in Woodstock, GA.

Certificate of Waiver, effective July 28, 2026, expires July 27, 2028.

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
July 28, 2026
Certificate expiration
July 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 28, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1087125
Lab name
Interventional Spine and Pain Management Center
Additional name
PC
Address
300 Parkbrooke Place, Suite 390, Woodstock, GA 30189
Phone
(404) 920-4950
Fax
(770) 929-9092

Annual test volume the lab reported

Waived tests
2,400

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

Affiliated CLIA numbers

Other labs in Woodstock, GA

Related

Questions

What is the CLIA number for Interventional Spine and Pain Management Center in Woodstock?

11D1087125, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Interventional Spine and Pain Management Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1087125 expire?

The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.

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