CLIA lab

CLIA 11D2254923: Georgia Interventional Pain - J, LLC

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

CLIA number 11D2254923 belongs to Georgia Interventional Pain - J, LLC in Stockbridge, GA.

Certificate of Waiver, effective March 9, 2026, expires March 8, 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
March 9, 2026
Certificate expiration
March 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 9, 2022
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

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

Lab and contact

CLIA number
11D2254923
Lab name
Georgia Interventional Pain - J, LLC
Address
830 Eagles Landing Parkway, Suite 205, Stockbridge, GA 30281
Phone
(770) 962-3642
Fax
(770) 962-3643

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.

Affiliated CLIA numbers

Other labs in Stockbridge, GA

Related

Questions

What is the CLIA number for Georgia Interventional Pain - J, LLC in Stockbridge?

11D2254923, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Interventional Pain - J, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2254923 expire?

The CMS file lists March 8, 2028 as the certificate expiration date; the certificate took effect March 9, 2026.

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