CLIA lab

CLIA 11D0921567: Kidcare Pediatrics LLC

College Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0921567 belongs to Kidcare Pediatrics LLC in College Park, GA.

Certificate of Waiver, effective February 12, 2025, expires February 11, 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 of Waiver
Certificate effective
February 12, 2025
Certificate expiration
February 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 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
11D0921567
Lab name
Kidcare Pediatrics LLC
Address
2565 Jolly Road, Suite A & B, College Park, GA 30349
Phone
(404) 691-6100
Fax
(404) 669-9347

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in College Park, GA

Related

Questions

What is the CLIA number for Kidcare Pediatrics LLC in College Park?

11D0921567, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kidcare Pediatrics LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0921567 expire?

The CMS file lists February 11, 2027 as the certificate expiration date; the certificate took effect February 12, 2025.

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