CLIA lab
CLIA 11D1043394: Village Medical- Capstone Medical Group
Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1043394 belongs to Village Medical- Capstone Medical Group in Lithonia, GA.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 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
- 11D1043394
- Lab name
- Village Medical- Capstone Medical Group
- Address
- 2745 Dekalb Medical Parkway Suite 200, Lithonia, GA 30058
- Phone
- (404) 446-3870
- Fax
- (404) 446-3875
Annual test volume the lab reported
- Waived tests
- 7,000
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 Village Medical- Capstone Medical Group in Lithonia?
11D1043394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Village Medical- Capstone Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1043394 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.