CLIA lab

CLIA 11D1042993: Campbell Family Medicine

Cumming, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1042993 belongs to Campbell Family Medicine in Cumming, GA.

Certificate for Provider-Performed Microscopy Procedures, effective July 13, 2025, expires July 12, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 13, 2025
Certificate expiration
July 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 13, 2005
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
11D1042993
Lab name
Campbell Family Medicine
Address
910 Haw Creek Road, Cumming, GA 30041
Phone
(678) 474-4742
Fax
(678) 474-4924

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Campbell Family Medicine in Cumming?

11D1042993, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Campbell Family Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D1042993 expire?

The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.

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