CLIA lab
CLIA 11D0646040: Pruitthealth - Monroe, LLC
Forsyth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0646040 belongs to Pruitthealth - Monroe, LLC in Forsyth, GA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 11D0646040
- Lab name
- Pruitthealth - Monroe, LLC
- Address
- 4796 Hwy 42 North, Forsyth, GA 31029
- Phone
- (478) 994-5662
- Fax
- (478) 994-8836
Annual test volume the lab reported
- Waived tests
- 2,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pruitthealth - MonroeCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pruitthealth - Monroe, LLC in Forsyth?
11D0646040, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth - Monroe, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0646040 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.