CLIA lab

CLIA 11D0998471: Elite Family Practice PC

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

CLIA number 11D0998471 belongs to Elite Family Practice PC in Douglasville, GA.

Certificate for Provider-Performed Microscopy Procedures, effective April 16, 2026, expires April 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 16, 2026
Certificate expiration
April 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 16, 2002
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
11D0998471
Lab name
Elite Family Practice PC
Address
6126 Prestley Mill Road, Suite H, Douglasville, GA 30134
Phone
(770) 745-6225
Fax
(770) 745-5425

Annual test volume the lab reported

Waived tests
2,500

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 Elite Family Practice PC in Douglasville?

11D0998471, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Elite Family Practice PC hold?

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

When does CLIA 11D0998471 expire?

The CMS file lists April 15, 2028 as the certificate expiration date; the certificate took effect April 16, 2026.

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