CLIA lab

CLIA 11D2327354: Revive Orthopedics Spine & Sports Medicine

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

CLIA number 11D2327354 belongs to Revive Orthopedics Spine & Sports Medicine in Lithia Springs, GA.

Certificate of Waiver, effective July 22, 2025, expires July 21, 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
July 22, 2025
Certificate expiration
July 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 22, 2025
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
11D2327354
Lab name
Revive Orthopedics Spine & Sports Medicine
Address
939 Bob Arnold Road Blvd, Suite A, Lithia Springs, GA 30122
Phone
(770) 769-1724
Fax
(833) 755-2292

Annual test volume the lab reported

Waived tests
200

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 Medicine in Lithia Springs?

11D2327354, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revive Orthopedics Spine & Sports Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2327354 expire?

The CMS file lists July 21, 2027 as the certificate expiration date; the certificate took effect July 22, 2025.

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