CLIA lab

CLIA 11D0976863: Prime Pediatrics PC

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

CLIA number 11D0976863 belongs to Prime Pediatrics PC in Dalton, GA.

Certificate of Compliance, effective November 2, 2024, expires November 1, 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 of Compliance
Certificate effective
November 2, 2024
Certificate expiration
November 1, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 16, 2000
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
11D0976863
Lab name
Prime Pediatrics PC
Address
1610 Broadrick Drive, Dalton, GA 30720
Phone
(706) 279-1994
Fax
(706) 279-9229

Annual test volume the lab reported

Waived tests
4,000
Other nonwaived tests
3,585
Total
7,585

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

Other labs in Dalton, GA

Related

Questions

What is the CLIA number for Prime Pediatrics PC in Dalton?

11D0976863, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prime Pediatrics PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D0976863 expire?

The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.

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