CLIA lab

CLIA 11D2253547: Spa 3 16

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

CLIA number 11D2253547 belongs to Spa 3 16 in Bremen, GA.

Certificate of Waiver, effective February 22, 2026, expires February 21, 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
February 22, 2026
Certificate expiration
February 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2022
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
11D2253547
Lab name
Spa 3 16
Address
211 Gordon Street, Bremen, GA 30110
Phone
(770) 537-1236
Fax
(770) 537-1337

Annual test volume the lab reported

Waived tests
50

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 Spa 3 16 in Bremen?

11D2253547, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Spa 3 16 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2253547 expire?

The CMS file lists February 21, 2028 as the certificate expiration date; the certificate took effect February 22, 2026.

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