CLIA lab

CLIA 11D0936937: Nicholas Pietrzak, MD, LLC

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

CLIA number 11D0936937 belongs to Nicholas Pietrzak, MD, LLC in Macon, GA.

Certificate for Provider-Performed Microscopy Procedures, effective November 12, 2024, expires November 11, 2026.

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
November 12, 2024
Certificate expiration
November 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
11D0936937
Lab name
Nicholas Pietrzak, MD, LLC
Address
3951 Ridge Ave Suite B, Macon, GA 31210
Phone
(478) 757-1934
Fax
(478) 757-1596

Annual test volume the lab reported

Waived tests
700
Provider-performed microscopy tests
5,000
Total
5,700

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

Affiliated CLIA numbers

Other labs in Macon, GA

Related

Questions

What is the CLIA number for Nicholas Pietrzak, MD, LLC in Macon?

11D0936937, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nicholas Pietrzak, MD, LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D0936937 expire?

The CMS file lists November 11, 2026 as the certificate expiration date; the certificate took effect November 12, 2024.

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