CLIA lab
CLIA 11D1043892: First Lithonia Medical Center
Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1043892 belongs to First Lithonia Medical Center in Lithonia, GA.
Certificate for Provider-Performed Microscopy Procedures, effective August 5, 2025, expires August 4, 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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 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
- 11D1043892
- Lab name
- First Lithonia Medical Center
- Address
- 2505 Panola Road, Lithonia, GA 30058
- Phone
- (404) 289-9936
- Fax
- (404) 289-9938
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.
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- Clearpath EMS LLCCertificate of Waiver, Ambulance11D2347449
- Community Whole Health ClinicCertificate of Waiver, Community clinic11D2322693
- Emory Healthcare at Miller GroveCertificate of Waiver, Physician office11D2092362
- Emory HillandaleCertificate for Provider-Performed Microscopy Procedures, Physician office11D2268863
- Emory Hillandale Hospital - Emory Medical LabCertificate of Accreditation, Hospital11D0893833
- Emory at Hillandale Lithonia, PCCertificate of Waiver, Physician office11D0714238
- Eseryt Care Trans, LLCCertificate of Waiver, Ambulance11D2280847
Related
Questions
What is the CLIA number for First Lithonia Medical Center in Lithonia?
11D1043892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does First Lithonia Medical Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1043892 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.