CLIA lab

CLIA 11D2279255: Braselton ASC, LLC

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

CLIA number 11D2279255 belongs to Braselton ASC, LLC in Braselton, GA.

Certificate of Waiver, effective March 31, 2025, expires March 30, 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
March 31, 2025
Certificate expiration
March 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 31, 2023
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
11D2279255
Lab name
Braselton ASC, LLC
Address
1524 River Place, Suite 100, Braselton, GA 30517
Phone
(770) 848-8600
Fax
(770) 848-8601

Annual test volume the lab reported

Waived tests
500

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

Other labs in Braselton, GA

Related

Questions

What is the CLIA number for Braselton ASC, LLC in Braselton?

11D2279255, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Braselton ASC, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2279255 expire?

The CMS file lists March 30, 2027 as the certificate expiration date; the certificate took effect March 31, 2025.

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