CLIA lab
CLIA 11D2212405: Georgia Interventional Pain H, LLC
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2212405 belongs to Georgia Interventional Pain H, LLC in Carrollton, GA.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2021
- 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
- 11D2212405
- Lab name
- Georgia Interventional Pain H, LLC
- Address
- 526 Bankhead Highway, Suite 102, Carrollton, GA 30117
- Phone
- (770) 962-3642
- Fax
- (770) 962-3643
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Air Evac EMS, Inc Air Evac #112Certificate of Waiver, Ambulance11D2065712
- Arrow PharmacyCertificate of Waiver, Pharmacy11D2236221
- Associated Pathologist, LLC DBA Pathgroup (Tanner)Certificate of Accreditation, Independent11D2272308
- Barclay House of CarrolltonCertificate of Waiver, Assisted living facility11D2195399
- Brookdale CarrolltonCertificate of Waiver, Assisted living facility11D0982207
- Carroll County Child Advocacy Center IncCertificate of Waiver, Other11D2306882
- Carroll County JailCertificate of Waiver, Other11D1001632
Related
Questions
What is the CLIA number for Georgia Interventional Pain H, LLC in Carrollton?
11D2212405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Interventional Pain H, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2212405 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.