CLIA lab
CLIA 11D2310664: Georgia Urology Ambulatory Surgery Center
Braselton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2310664 belongs to Georgia Urology Ambulatory Surgery Center in Braselton, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 9, 2026, expires September 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 9, 2026
- Certificate expiration
- September 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2024
- 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
- 11D2310664
- Lab name
- Georgia Urology Ambulatory Surgery Center
- Address
- 1223 Friendship Road, Bldg 400,SUITE 110, Braselton, GA 30517
- Phone
- (770) 963-2451
- Fax
- (678) 808-1039
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 1,000
- Total
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Braselton, GA
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2187174
- Allcare Ga BraseltonCertificate of Waiver, Physician office11D2325623
- Braselton ASC, LLCCertificate of Waiver, Ambulatory surgery center11D2279255
- Braselton DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2116766
- Braselton Urgent CareCertificate of Waiver, Other11D2159943
- Cardiovasculatr Clinic of North GeorgiaCertificate of Waiver, Physician office11D2341756
- Classic EMS IncCertificate of Waiver, Ambulance11D2305163
- Diamond Nourish LLCCertificate of Waiver, Other11D2330255
- FP- Peachtree Immediate Care (BRS)Certificate of Waiver, Physician office11D2324637
- Family Practice CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2307208
Related
Questions
What is the CLIA number for Georgia Urology Ambulatory Surgery Center in Braselton?
11D2310664, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Urology Ambulatory Surgery Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2310664 expire?
The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.