CLIA lab
CLIA 11D1028117: Ga Kidz Pediatrics PC
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1028117 belongs to Ga Kidz Pediatrics PC in Jackson, GA.
Certificate of Waiver, effective January 7, 2026, expires January 6, 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
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2004
- 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
- 11D1028117
- Lab name
- Ga Kidz Pediatrics PC
- Address
- 146 Sylvan Drive, Jackson, GA 30233
- Phone
- (770) 775-4540
- Fax
- (770) 775-4078
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Dream Cantcher Farm PCHCertificate of Waiver, Other11D0984619
Related
Questions
What is the CLIA number for Ga Kidz Pediatrics PC in Jackson?
11D1028117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ga Kidz Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1028117 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.