CLIA lab
CLIA 11D1100645: Ispm ASC at Covington LLC
Covington, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1100645 belongs to Ispm ASC at Covington LLC in Covington, GA.
Certificate of Waiver, effective June 10, 2025, expires June 9, 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
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 2009
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1100645
- Lab name
- Ispm ASC at Covington LLC
- Address
- 5303 Adams Street, Suite C & D, Covington, GA 30014
- Phone
- (770) 929-9033
- 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 Covington, GA
- Alliance Family CareCertificate of Waiver, Physician office11D1018789
- Amedisys Ga, LLC, DBA Amedisys Home Hlth CovingtonCertificate of Waiver, Home health agency11D0669953
- Armor Health of NewtonCertificate of Waiver, Other11D2350378
- Atlanta Plus Primary Care LLCCertificate of Waiver, Other11D2299370
- Axis Occupational HealthCertificate of Waiver, Other practitioner11D2230488
- C3 EMS Ambulance ServiceCertificate of Waiver, Ambulance11D2294702
- Carmichaels of CovingtonCertificate of Waiver, Pharmacy11D2183285
- Cathy T Larrimore MDCertificate for Provider-Performed Microscopy Procedures, Physician office11D1019245
- Coat of Arms Medical Transport Services, LLCCertificate of Waiver, Ambulance11D2269879
- Covington Fire DepartmentCertificate of Waiver, Other11D2273171
Related
Questions
What is the CLIA number for Ispm ASC at Covington LLC in Covington?
11D1100645, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ispm ASC at Covington LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1100645 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.