CLIA lab

CLIA 11D0960900: Eagles Landing Pediatric Associates LLC

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

CLIA number 11D0960900 belongs to Eagles Landing Pediatric Associates LLC in Stockbridge, GA.

Certificate of Waiver, effective May 24, 2025, expires May 23, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 24, 2025
Certificate expiration
May 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 1999
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
11D0960900
Lab name
Eagles Landing Pediatric Associates LLC
Address
1101 Hospital Drive, Suite 210, Stockbridge, GA 30281
Phone
(678) 289-0103
Fax
(678) 289-0171

Annual test volume the lab reported

Waived tests
2,496

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 Eagles Landing Pediatric Associates LLC in Stockbridge?

11D0960900, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eagles Landing Pediatric Associates LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0960900 expire?

The CMS file lists May 23, 2027 as the certificate expiration date; the certificate took effect May 24, 2025.

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