CLIA lab
CLIA 11D1012176: Premier Family Clinic
Chamblee, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1012176 belongs to Premier Family Clinic in Chamblee, GA.
Certificate of Waiver, effective May 2, 2025, expires May 1, 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
- May 2, 2025
- Certificate expiration
- May 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 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
- 11D1012176
- Lab name
- Premier Family Clinic
- Address
- 3646 Chamblee Tucker Road Suite D, Chamblee, GA 30341
- Phone
- (770) 493-6767
- Fax
- (770) 493-6797
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chamblee, GA
- Afc Urgent Care - ChambleeCertificate of Waiver, Physician office11D2145572
- Alphamed Medical Transport, LLCCertificate of Waiver, Ambulance11D2331176
- Atlanta Care EMSCertificate of Waiver, Ambulance11D2350558
- CDC Worklife Wellness OfficeCertificate of Waiver, Other11D2285317
- Care Plus Family Medicine, PCCertificate of Waiver, Physician office11D2130209
- Chamblee Childrens ClinicCertificate of Waiver, Physician office11D1009043
- Chamblee Family Medical ClinicCertificate of Waiver, Other practitioner11D2276317
- Children's at Chamblee Brookhaven Urgent Care LabCertificate of Accreditation, Other11D2144841
- Clinica Vital, LLCCertificate of Waiver, Physician office11D2284469
- Dekalb Family Practice and GeriatricsCertificate of Waiver, Physician office11D2082244
Related
Questions
What is the CLIA number for Premier Family Clinic in Chamblee?
11D1012176, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1012176 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.