CLIA lab

CLIA 11D1043488: FP- Peachtree Immediate Care - Hir

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

CLIA number 11D1043488 belongs to FP- Peachtree Immediate Care - Hir in Hiram, GA.

Certificate of Waiver, effective January 19, 2025, expires January 18, 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
January 19, 2025
Certificate expiration
January 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 26, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1043488
Lab name
FP- Peachtree Immediate Care - Hir
Address
3827 Jimmy Lee Smith Parkway, Hiram, GA 30141
Phone
(770) 222-8900
Fax
(770) 222-4464

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Hiram, GA

Related

Questions

What is the CLIA number for FP- Peachtree Immediate Care - Hir in Hiram?

11D1043488, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FP- Peachtree Immediate Care - Hir hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1043488 expire?

The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.

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