CLIA lab
CLIA 11D0862515: Pruitthealth - Lilburn, LLC
Lilburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0862515 belongs to Pruitthealth - Lilburn, LLC in Lilburn, 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
- February 24, 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
- 11D0862515
- Lab name
- Pruitthealth - Lilburn, LLC
- Address
- 788 Indian Trail Road, Lilburn, GA 30047
- Phone
- (770) 923-2020
- Fax
- (770) 923-8495
Annual test volume the lab reported
- Waived tests
- 70,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- PruittHealth - LilburnCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pruitthealth - Lilburn, LLC in Lilburn?
11D0862515, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth - Lilburn, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0862515 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.