CLIA lab
CLIA 11D0710697: Mcdonough Pediatrics PC
Mcdonough, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0710697 belongs to Mcdonough Pediatrics PC in Mcdonough, 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
- November 13, 1996
- 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
- 11D0710697
- Lab name
- Mcdonough Pediatrics PC
- Address
- 101 Regency Park Dr Suite 140, Mcdonough, GA 30253
- Phone
- (770) 957-8626
Annual test volume the lab reported
- Waived tests
- 2,000
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 Mcdonough Pediatrics PC in Mcdonough?
11D0710697, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mcdonough Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0710697 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.