CLIA lab

CLIA 11D0257209: Potts Pediatrics

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

CLIA number 11D0257209 belongs to Potts Pediatrics in Fayetteville, GA.

Certificate of Waiver, effective August 15, 2025, expires August 14, 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
August 15, 2025
Certificate expiration
August 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
11D0257209
Lab name
Potts Pediatrics
Address
365 N Jeff Davis Drive, Fayetteville, GA 30214
Phone
(770) 461-5003
Fax
(770) 461-4939

Annual test volume the lab reported

Waived tests
6,628

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

Affiliated CLIA numbers

Other labs in Fayetteville, GA

Related

Questions

What is the CLIA number for Potts Pediatrics in Fayetteville?

11D0257209, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Potts Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0257209 expire?

The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.

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