CLIA lab

CLIA 11D2248497: Southern Pain and Spine - Jasper

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

CLIA number 11D2248497 belongs to Southern Pain and Spine - Jasper in Jasper, GA.

Certificate of Waiver, effective January 13, 2026, expires January 12, 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 13, 2026
Certificate expiration
January 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 2022
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2248497
Lab name
Southern Pain and Spine - Jasper
Address
1101 Old Philadelphia Road, Suite G100, Jasper, GA 30143
Phone
(678) 971-4167
Fax
(678) 971-5205

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Jasper, GA

Related

Questions

What is the CLIA number for Southern Pain and Spine - Jasper in Jasper?

11D2248497, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southern Pain and Spine - Jasper hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2248497 expire?

The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.

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