CLIA lab
CLIA 11D1000581: Kids Doc Pediatrics
Lilburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1000581 belongs to Kids Doc Pediatrics in Lilburn, GA.
Certificate of Waiver, effective June 18, 2026, expires June 17, 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
- June 18, 2026
- Certificate expiration
- June 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 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
- 11D1000581
- Lab name
- Kids Doc Pediatrics
- Address
- 3100 Five Forest Trickum Rd, Number 204, Lilburn, GA 30047
- Phone
- (770) 978-7701
- Fax
- (770) 978-7822
Annual test volume the lab reported
- Waived tests
- 1,500
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 Kids Doc Pediatrics in Lilburn?
11D1000581, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kids Doc Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1000581 expire?
The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.