CLIA lab

CLIA 11D2177683: Georgia Interventional Pain F, LLC

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

CLIA number 11D2177683 belongs to Georgia Interventional Pain F, LLC in Roswell, GA.

Certificate of Waiver, effective January 16, 2026, expires January 15, 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
January 16, 2026
Certificate expiration
January 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 16, 2020
Facility type
Ambulatory surgery center
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
11D2177683
Lab name
Georgia Interventional Pain F, LLC
Address
1357 Hembree Road Suite 230, Roswell, GA 30076
Phone
(770) 962-3642
Fax
(770) 962-3643

Annual test volume the lab reported

Waived tests
40

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 Interventional Pain F, LLC in Roswell?

11D2177683, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Interventional Pain F, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2177683 expire?

The CMS file lists January 15, 2028 as the certificate expiration date; the certificate took effect January 16, 2026.

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