CLIA lab
CLIA 11D0906886: Peachtree Medical Center
Tyrone, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0906886 belongs to Peachtree Medical Center in Tyrone, GA.
Certificate for Provider-Performed Microscopy Procedures, effective October 6, 2025, expires October 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 6, 2025
- Certificate expiration
- October 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 1995
- 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
- 11D0906886
- Lab name
- Peachtree Medical Center
- Address
- 190 Greencastle Road, Tyrone, GA 30290
- Phone
- (770) 487-7807
- Fax
- (770) 487-7619
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Related
Questions
What is the CLIA number for Peachtree Medical Center in Tyrone?
11D0906886, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peachtree Medical Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0906886 expire?
The CMS file lists October 5, 2027 as the certificate expiration date; the certificate took effect October 6, 2025.