CLIA lab

CLIA 11D2310420: Georgia Interventional Pain - Q, LLC

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

CLIA number 11D2310420 belongs to Georgia Interventional Pain - Q, LLC in Braselton, GA.

Certificate of Waiver, effective September 4, 2026, expires September 3, 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
September 4, 2026
Certificate expiration
September 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 4, 2024
Facility type
Ambulatory surgery center
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

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

Lab and contact

CLIA number
11D2310420
Lab name
Georgia Interventional Pain - Q, LLC
Address
5670 Old Winder Highway, Suite 104, Braselton, GA 30517
Phone
(770) 962-3642
Fax
(770) 962-3643

Annual test volume the lab reported

Waived tests
70

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

Affiliated CLIA numbers

Other labs in Braselton, GA

Related

Questions

What is the CLIA number for Georgia Interventional Pain - Q, LLC in Braselton?

11D2310420, per the CMS Provider of Services file posted October 16, 2026.

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

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2310420 expire?

The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.

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