CLIA lab
CLIA 11D2187174: Advanced Urology Institute of Georgia, PC
Braselton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2187174 belongs to Advanced Urology Institute of Georgia, PC in Braselton, GA.
Certificate of Waiver, effective June 26, 2026, expires June 25, 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
- June 26, 2026
- Certificate expiration
- June 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 26, 2020
- 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
- 11D2187174
- Lab name
- Advanced Urology Institute of Georgia, PC
- Address
- 2695 Old Winder Highway Suite 150, Braselton, GA 30517
- Phone
- (770) 979-9966
- Fax
- (678) 691-0506
Annual test volume the lab reported
- Waived tests
- 500
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 Advanced Urology Institute of Georgia, PC in Braselton?
11D2187174, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Urology Institute of Georgia, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2187174 expire?
The CMS file lists June 25, 2028 as the certificate expiration date; the certificate took effect June 26, 2026.