CLIA lab

CLIA 11D2139250: Georgia Urology - Cumming ASC

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

CLIA number 11D2139250 belongs to Georgia Urology - Cumming ASC in Cumming, GA.

Certificate for Provider-Performed Microscopy Procedures, effective November 3, 2025, expires November 2, 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 for Provider-Performed Microscopy Procedures
Certificate effective
November 3, 2025
Certificate expiration
November 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 2017
Facility type
Ambulatory surgery center
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
11D2139250
Lab name
Georgia Urology - Cumming ASC
Address
4150 Deputy Bill Cantrell Memorial Road, Ste 140A, Cumming, GA 30040
Phone
(404) 256-1844
Fax
(404) 256-3499

Annual test volume the lab reported

Waived tests
1,500
Provider-performed microscopy tests
1,000
Total
2,500

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

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Related

Questions

What is the CLIA number for Georgia Urology - Cumming ASC in Cumming?

11D2139250, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Urology - Cumming ASC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2139250 expire?

The CMS file lists November 2, 2027 as the certificate expiration date; the certificate took effect November 3, 2025.

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