CLIA lab
CLIA 11D2174958: Interventional Spine and Pain Management CTR, PC
Conyers, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174958 belongs to Interventional Spine and Pain Management CTR, PC in Conyers, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2174958
- Lab name
- Interventional Spine and Pain Management CTR, PC
- Address
- 1388 Wellbrook Circle, Suite A, Conyers, GA 30012
- Phone
- (404) 920-4950
- Fax
- (770) 929-9092
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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Related
Questions
What is the CLIA number for Interventional Spine and Pain Management CTR, PC in Conyers?
11D2174958, 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 11D2174958 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.