CLIA lab
CLIA 11D1034805: Dynamic Hospice
Roswell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1034805 belongs to Dynamic Hospice in Roswell, GA.
Certificate of Waiver, effective October 3, 2024, expiration date October 2, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 3, 2024
- Certificate expiration
- October 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2004
- Facility type
- Hospice
- 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
- 11D1034805
- Lab name
- Dynamic Hospice
- Address
- 419 East Crossville Road, Suite 102, Roswell, GA 30075
- Phone
- (470) 375-3115
- Fax
- (470) 375-3117
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.
Care facility at this address
- Dynamic HospiceCMS Care Compare ratings for the facility at the same street address
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- Aesthetic Speciality CentreCertificate for Provider-Performed Microscopy Procedures, Physician office11D1094207
- Align Spine and Pain Institute, LLCCertificate of Waiver, Physician office11D2265504
- Alpharetta Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office11D0720188
- Alpharetta Roswell Family PracticeCertificate of Waiver, Physician office11D1021772
- Aqua Dermatology of Georgia, PCCertificate of Compliance, Physician office11D2107014
- Arcpoint Labs of Roswell, GeorgiaCertificate of Waiver, Other11D2209413
Related
Questions
What is the CLIA number for Dynamic Hospice in Roswell?
11D1034805, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dynamic Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1034805 expire?
The CMS file lists October 2, 2026 as the certificate expiration date; the certificate took effect October 3, 2024.