CLIA lab
CLIA 11D2091367: Select Interventional Pain, PC
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2091367 belongs to Select Interventional Pain, PC in Jackson, GA.
Certificate of Compliance, effective August 21, 2026, expires August 20, 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 Compliance
- Certificate effective
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 2015
- 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
- 11D2091367
- Lab name
- Select Interventional Pain, PC
- Address
- 794 Mcdonough Road, Suite 108, Jackson, GA 30233
- Phone
- (470) 251-5300
- Fax
- (470) 251-5301
Annual test volume the lab reported
- Other nonwaived tests
- 18,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Dream Cantcher Farm PCHCertificate of Waiver, Other11D0984619
Related
Questions
What is the CLIA number for Select Interventional Pain, PC in Jackson?
11D2091367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Select Interventional Pain, PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2091367 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.