CLIA lab
CLIA 11D0952596: Fayetteville Dialysis
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0952596 belongs to Fayetteville Dialysis in Fayetteville, GA.
Certificate of Waiver, effective October 16, 2026, expires October 15, 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 16, 2026
- Certificate expiration
- October 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 1998
- Facility type
- End stage renal disease dialysis facility
- 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
- 11D0952596
- Lab name
- Fayetteville Dialysis
- Address
- 1279 Highway 54 West, Suite 110, Fayetteville, GA 30214
- Phone
- (678) 817-9974
- Fax
- (678) 817-9930
Annual test volume the lab reported
- Waived tests
- 400
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 Fayetteville Dialysis in Fayetteville?
11D0952596, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayetteville Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0952596 expire?
The CMS file lists October 15, 2028 as the certificate expiration date; the certificate took effect October 16, 2026.