CLIA lab
CLIA 11D1011812: Greenwillow Pediatrics PC
Gainesville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1011812 belongs to Greenwillow Pediatrics PC in Gainesville, GA.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2003
- 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
- 11D1011812
- Lab name
- Greenwillow Pediatrics PC
- Address
- 3030 Mcever Road Suite 130, Gainesville, GA 30504
- Phone
- (678) 520-2555
- Fax
- (678) 450-7462
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Related
Questions
What is the CLIA number for Greenwillow Pediatrics PC in Gainesville?
11D1011812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Greenwillow Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1011812 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.