CLIA lab

CLIA 11D0923455: East Cobb Pediatrics

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

CLIA number 11D0923455 belongs to East Cobb Pediatrics in Kennesaw, GA.

Certificate of Compliance, effective April 12, 2025, expires April 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
April 12, 2025
Certificate expiration
April 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0923455
Lab name
East Cobb Pediatrics
Address
6110 Pine Mountain Rod, #202, Kennesaw, GA 30152
Phone
(770) 795-4553
Fax
(678) 766-0730

Annual test volume the lab reported

Waived tests
3,000
Other nonwaived tests
5,700
Total
8,700

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

Affiliated CLIA numbers

Other labs in Kennesaw, GA

Related

Questions

What is the CLIA number for East Cobb Pediatrics in Kennesaw?

11D0923455, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Cobb Pediatrics hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D0923455 expire?

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

Try it on your own data today.

Free to start. Most teams are using it the same day.