CLIA lab
CLIA 11D2174956: Interventional Spine and Pain Management CTR, PC
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174956 belongs to Interventional Spine and Pain Management CTR, PC in Douglasville, GA.
Certificate of Waiver, effective November 13, 2025, expires November 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
- November 13, 2025
- Certificate expiration
- November 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2019
- Facility type
- Physician office
- 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
- 11D2174956
- Lab name
- Interventional Spine and Pain Management CTR, PC
- Address
- 3400 Chapel Hill Road, Suite 101, Douglasville, GA 30135
- 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.
Affiliated CLIA numbers
Other labs in Douglasville, GA
- Advanced DermatologyCertificate of Compliance, Physician office11D0950417
- Aga, LLCCertificate of Waiver, Physician office11D1043408
- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0672010
- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
- American National Red Cross, theCertificate of Waiver, Blood bank11D0883367
- Arbor Place DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1091874
- Arbor Place Family Medicine PCCertificate of Waiver, Physician office11D1036452
- Ariel Community Care, LLCCertificate of Waiver, Other practitioner11D2169939
Related
Questions
What is the CLIA number for Interventional Spine and Pain Management CTR, PC in Douglasville?
11D2174956, 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 11D2174956 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.