CLIA lab

CLIA 11D2258480: Centurion Spine and Pain

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

CLIA number 11D2258480 belongs to Centurion Spine and Pain in Pooler, GA.

Certificate of Waiver, effective April 22, 2026, expires April 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
April 22, 2026
Certificate expiration
April 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 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
11D2258480
Lab name
Centurion Spine and Pain
Address
200 Blue Moon Xing Suite 300, Pooler, GA 31322
Phone
(912) 325-7544

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Pooler, GA

Related

Questions

What is the CLIA number for Centurion Spine and Pain in Pooler?

11D2258480, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Centurion Spine and Pain hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2258480 expire?

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

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