CLIA lab

CLIA 11D2315886: Phoenix Ortho Injury Spine and Extremity Surg CTR

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

CLIA number 11D2315886 belongs to Phoenix Ortho Injury Spine and Extremity Surg CTR in Stone Mountain, GA.

Certificate of Waiver, effective December 20, 2024, expires December 19, 2026.

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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 20, 2024
Certificate expiration
December 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 20, 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
11D2315886
Lab name
Phoenix Ortho Injury Spine and Extremity Surg CTR
Address
1805 Parke Plaza Circle, SW, Ste 103, Stone Mountain, GA 30087
Phone
(678) 892-5590
Fax
(678) 449-0102

Annual test volume the lab reported

Waived tests
140

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

Other labs in Stone Mountain, GA

Related

Questions

What is the CLIA number for Phoenix Ortho Injury Spine and Extremity Surg CTR in Stone Mountain?

11D2315886, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phoenix Ortho Injury Spine and Extremity Surg CTR hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2315886 expire?

The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.