CLIA lab

CLIA 11D2119080: Georgia Interventional Pain D, LLC

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

CLIA number 11D2119080 belongs to Georgia Interventional Pain D, LLC in Decatur, GA.

Certificate of Waiver, effective September 20, 2026, expires September 19, 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
September 20, 2026
Certificate expiration
September 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 20, 2016
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
11D2119080
Lab name
Georgia Interventional Pain D, LLC
Address
484 Irvin Court, Suite 130, Decatur, GA 30030
Phone
(770) 962-3642
Fax
(770) 962-3643

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Decatur, GA

Related

Questions

What is the CLIA number for Georgia Interventional Pain D, LLC in Decatur?

11D2119080, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Interventional Pain D, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2119080 expire?

The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.

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