CLIA lab
CLIA 11D0926679: Emory at Beaver Ruin
Lilburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0926679 belongs to Emory at Beaver Ruin in Lilburn, GA.
Certificate of Waiver, effective October 1, 2026, expires September 30, 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
- October 1, 2026
- Certificate expiration
- September 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 1997
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D0926679
- Lab name
- Emory at Beaver Ruin
- Address
- 615 B Beaver Ruin Road, NW, Suite B, Lilburn, GA 30047
- Phone
- (770) 935-8616
- Fax
- (770) 935-8549
Annual test volume the lab reported
- Waived tests
- 800
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 Emory at Beaver Ruin in Lilburn?
11D0926679, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Emory at Beaver Ruin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0926679 expire?
The CMS file lists September 30, 2028 as the certificate expiration date; the certificate took effect October 1, 2026.