CLIA lab
CLIA 11D2306322: Revive Orthopedics Spine & Sports Surgery Center
Lithia Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2306322 belongs to Revive Orthopedics Spine & Sports Surgery Center in Lithia Springs, GA.
Certificate of Waiver, effective June 14, 2026, expires June 13, 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
- June 14, 2026
- Certificate expiration
- June 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 2024
- 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
- 11D2306322
- Lab name
- Revive Orthopedics Spine & Sports Surgery Center
- Additional name
- Inc
- Address
- 939 Bob Arnold Boulevard, Suite D, Lithia Springs, GA 30122
- Phone
- (770) 769-1724
- Fax
- (770) 708-6599
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 Revive Orthopedics Spine & Sports Surgery Center in Lithia Springs?
11D2306322, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revive Orthopedics Spine & Sports Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2306322 expire?
The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.