CLIA lab
CLIA 11D0680713: Daffodil Pediatrics & Family Medicine
Forest Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0680713 belongs to Daffodil Pediatrics & Family Medicine in Forest Park, GA.
Certificate of Waiver, effective April 20, 2026, expires April 19, 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
- April 20, 2026
- Certificate expiration
- April 19, 2028
- 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0680713
- Lab name
- Daffodil Pediatrics & Family Medicine
- Address
- 4905 Courtney Drive, Forest Park, GA 30297
- Phone
- (404) 366-3636
- Fax
- (404) 362-0808
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ash Morrow Medical Center, IncCertificate of Waiver, Physician office11D2037109
- Clayton Transitional CenterCertificate of Waiver, Prison11D2244530
- Clear Medical ConceptsCertificate of Waiver, Physician office11D2075935
- Comfortlink Healthcare, LLCCertificate of Waiver, Other11D2300034
- Forest Park Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility11D0983603
- Forest Park Fire and Emrgency ServicesCertificate of Waiver, Ambulance11D2249853
- Gentle Care Medical TransportationCertificate of Waiver, Ambulance11D2298791
- Gold Coast DiagnosticsCertificate of Compliance, Independent11D2194982
Related
Questions
What is the CLIA number for Daffodil Pediatrics & Family Medicine in Forest Park?
11D0680713, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Daffodil Pediatrics & Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0680713 expire?
The CMS file lists April 19, 2028 as the certificate expiration date; the certificate took effect April 20, 2026.