CLIA lab
CLIA 11D2074436: Georgia Interventional Pain, LLC
Lawrenceville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2074436 belongs to Georgia Interventional Pain, LLC in Lawrenceville, GA.
Certificate of Waiver, effective March 10, 2026, expires March 9, 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
- March 10, 2026
- Certificate expiration
- March 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 2014
- 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
- 11D2074436
- Lab name
- Georgia Interventional Pain, LLC
- Address
- 455 Phillip Blvd, Suite 138, Lawrenceville, GA 30046
- Phone
- (770) 962-3642
- Fax
- (771) 962-3643
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Action EMSCertificate of Waiver, Ambulance11D2215485
- Advanced Dermatology of GeorgiaCertificate of Compliance, Physician office11D0257585
- Advanced Urology (Lawrenceville)Certificate of Waiver, Physician office11D2145718
- Adventa Hospice LLCCertificate of Waiver, Hospice11D1066787
- Affordable Allergy TestCertificate of Waiver, Independent11D2288636
- Aga LLCCertificate of Waiver, Physician office11D1079880
Related
Questions
What is the CLIA number for Georgia Interventional Pain, LLC in Lawrenceville?
11D2074436, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Interventional Pain, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2074436 expire?
The CMS file lists March 9, 2028 as the certificate expiration date; the certificate took effect March 10, 2026.