CLIA lab
CLIA 11D2174194: Interventional Spine and Pain Management CTR, PC
Marietta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174194 belongs to Interventional Spine and Pain Management CTR, PC in Marietta, GA.
Certificate of Waiver, effective October 29, 2025, expires October 28, 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
- October 29, 2025
- Certificate expiration
- October 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 29, 2019
- Facility type
- Physician office
- 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
- 11D2174194
- Lab name
- Interventional Spine and Pain Management CTR, PC
- Address
- 400 Tower Road, Suite 350, Marietta, GA 30060
- Phone
- (404) 920-4950
- Fax
- (678) 399-5496
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Abba Health Services, LLCCertificate of Waiver, Home health agency11D2240324
- Acadian Health- Ga BaseCertificate of Compliance, Other practitioner11D2293472
- Accustick Lab, LLCCertificate of Waiver, Mobile lab11D2350319
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- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2174532
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Related
Questions
What is the CLIA number for Interventional Spine and Pain Management CTR, PC in Marietta?
11D2174194, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Spine and Pain Management CTR, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174194 expire?
The CMS file lists October 28, 2027 as the certificate expiration date; the certificate took effect October 29, 2025.