CLIA lab
CLIA 11D1005484: Emory Medical Laboratory at Locust Grove
Locust Grove, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1005484 belongs to Emory Medical Laboratory at Locust Grove in Locust Grove, GA.
Certificate of Waiver, effective October 23, 2026, expires October 22, 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
- October 23, 2026
- Certificate expiration
- October 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2002
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1005484
- Lab name
- Emory Medical Laboratory at Locust Grove
- Address
- 4899 Bill Gardner Pkwy, Suite 200, Locust Grove, GA 30248
- Phone
- (404) 712-7403
- Fax
- (404) 712-4780
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Locust Grove, GA
- Aga LLCCertificate of Waiver, Physician office11D1079881
- Atlanta Heart Associates, PCCertificate of Waiver, Physician office11D2020892
- Aylo Health- Locust GroveCertificate of Accreditation, Physician office11D0925484
- Carenova IncCertificate of Waiver, Physician office11D2329094
- Dna Med Services LLCCertificate of Waiver, Independent11D2328959
- ExpercareCertificate of Waiver, Physician office11D2345397
- FP- Peachtree Immediate Care-LgvCertificate of Waiver, Physician office11D2189680
- Family Medical and Urgent Care Clinic LLCCertificate of Compliance, Physician office11D2287107
- Fresenius Kidney Care Locust GroveCertificate of Waiver, End stage renal disease dialysis facility11D2172137
- Ingles Markets, Inc (Ingles Pharmacy #495)Certificate of Waiver, Pharmacy11D2184956
Related
Questions
What is the CLIA number for Emory Medical Laboratory at Locust Grove in Locust Grove?
11D1005484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Emory Medical Laboratory at Locust Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1005484 expire?
The CMS file lists October 22, 2028 as the certificate expiration date; the certificate took effect October 23, 2026.