CLIA lab

CLIA 11D2147640: Center for Spine Interventions ASC2, LLC

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

CLIA number 11D2147640 belongs to Center for Spine Interventions ASC2, LLC in Dallas, GA.

Certificate of Waiver, effective April 24, 2026, expires April 23, 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
April 24, 2026
Certificate expiration
April 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2018
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
11D2147640
Lab name
Center for Spine Interventions ASC2, LLC
Address
2713 Charles Hardy Parkway, Suite 224, Dallas, GA 30157
Phone
(678) 813-2741
Fax
(770) 575-3912

Annual test volume the lab reported

Waived tests
2,500

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

Affiliated CLIA numbers

Other labs in Dallas, GA

Related

Questions

What is the CLIA number for Center for Spine Interventions ASC2, LLC in Dallas?

11D2147640, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Center for Spine Interventions ASC2, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2147640 expire?

The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.

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