CLIA lab
CLIA 11D2066004: Center for Spine Interventions ASC 1, LLC
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2066004 belongs to Center for Spine Interventions ASC 1, LLC in Douglasville, GA.
Certificate of Waiver, effective September 19, 2025, expires September 18, 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
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2013
- 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
- 11D2066004
- Lab name
- Center for Spine Interventions ASC 1, LLC
- Address
- 4586 Timber Ridge Drive, Suite 141, Douglasville, GA 30135
- Phone
- (678) 813-2741
- Fax
- (770) 575-3912
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
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- Ariel Community Care, LLCCertificate of Waiver, Other practitioner11D2169939
Related
Questions
What is the CLIA number for Center for Spine Interventions ASC 1, LLC in Douglasville?
11D2066004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Center for Spine Interventions ASC 1, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2066004 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.