CLIA lab
CLIA 18D2296766: Southern Vascular & Pain Surgery Center LLC
Fulton, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2296766 belongs to Southern Vascular & Pain Surgery Center LLC in Fulton, KY.
Certificate of Waiver, effective January 5, 2026, expires January 4, 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
- January 5, 2026
- Certificate expiration
- January 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2024
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 18D2296766
- Lab name
- Southern Vascular & Pain Surgery Center LLC
- Address
- 221 Main Street, Fulton, KY 42041
- Phone
- (901) 355-5036
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fulton, KY
- Evans Drug Company LLCCertificate of Waiver, Pharmacy18D2194160
- Fulton Nursing and Rehabilitation, LLCCertificate of Waiver, Skilled nursing or nursing facility18D0673545
- Jackson Purchase Primary Care Fulton ClinicCertificate of Waiver, Rural health clinic18D2126241
- Kentuckycare 58Certificate of Waiver, Federally qualified health center18D2290893
- Laven Care LLCCertificate of Waiver, Mobile lab18D2284383
- Lifeline Home Health Care of Fulton,llc DBACertificate of Waiver, Home health agency18D1070308
- Twin City Ambulance ServiceCertificate of Waiver, Ambulance18D2149020
- Wal-Mart Stores East, LP DBA Wal-Mart Pharmacy #10Certificate of Waiver, Pharmacy18D2142931
Related
Questions
What is the CLIA number for Southern Vascular & Pain Surgery Center LLC in Fulton?
18D2296766, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Vascular & Pain Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2296766 expire?
The CMS file lists January 4, 2028 as the certificate expiration date; the certificate took effect January 5, 2026.