CLIA lab

CLIA 11D2125680: Center for Spine Interventions ASC 3, LLC

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

CLIA number 11D2125680 belongs to Center for Spine Interventions ASC 3, LLC in Acworth, GA.

Certificate of Waiver, effective February 13, 2025, expires February 12, 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
February 13, 2025
Certificate expiration
February 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 13, 2017
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2125680
Lab name
Center for Spine Interventions ASC 3, LLC
Address
4450 Calibre Crossing, Suite 1120, Acworth, GA 30101
Phone
(678) 813-2741
Fax
(770) 575-3912

Annual test volume the lab reported

Waived tests
800

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

Affiliated CLIA numbers

Other labs in Acworth, GA

Related

Questions

What is the CLIA number for Center for Spine Interventions ASC 3, LLC in Acworth?

11D2125680, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Center for Spine Interventions ASC 3, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2125680 expire?

The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.

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