CLIA lab
CLIA 11D0954653: Carroll County Nephrology PC
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0954653 belongs to Carroll County Nephrology PC in Carrollton, GA.
Certificate of Waiver, effective January 11, 2026, expires January 10, 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
- January 11, 2026
- Certificate expiration
- January 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 1998
- 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
- 11D0954653
- Lab name
- Carroll County Nephrology PC
- Address
- 157 Clinic Avenue Suite 203, Carrollton, GA 30117
- Phone
- (770) 832-0429
- Fax
- (770) 838-9108
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 3 16 Kids Corner- CarrolltonCertificate of Waiver, Physician office11D2342098
- Air Evac EMS, Inc Air Evac #112Certificate of Waiver, Ambulance11D2065712
- Arrow PharmacyCertificate of Waiver, Pharmacy11D2236221
- Associated Pathologist, LLC DBA Pathgroup (Tanner)Certificate of Accreditation, Independent11D2272308
- Barclay House of CarrolltonCertificate of Waiver, Assisted living facility11D2195399
- Brookdale CarrolltonCertificate of Waiver, Assisted living facility11D0982207
- Carroll County Child Advocacy Center IncCertificate of Waiver, Other11D2306882
- Carroll County JailCertificate of Waiver, Other11D1001632
Related
Questions
What is the CLIA number for Carroll County Nephrology PC in Carrollton?
11D0954653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carroll County Nephrology PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0954653 expire?
The CMS file lists January 10, 2028 as the certificate expiration date; the certificate took effect January 11, 2026.