CLIA lab
CLIA 11D1044645: Childrens Healthcare of West Georgia - Villa Rica
Villa Rica, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1044645 belongs to Childrens Healthcare of West Georgia - Villa Rica in Villa Rica, GA.
Certificate of Waiver, effective October 7, 2025, expires October 6, 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
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2005
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1044645
- Lab name
- Childrens Healthcare of West Georgia - Villa Rica
- Address
- 690 Dallas Highway, Suite 206, Villa Rica, GA 30180
- Phone
- (770) 456-3256
- Fax
- (770) 812-8650
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Villa Rica, GA
- 3 16 Healthcare-Family Medicine & Kids CornerCertificate of Waiver, Physician office11D2327810
- Agape Hospice Care of Carollton, LLCCertificate of Waiver, Hospice11D2044565
- Altus Hospice of Georgia, LLCCertificate of Waiver, Hospice11D1076785
- Angel Heart Hospice DBA Family HospiceCertificate of Waiver, Hospice11D2195353
- BJK Specimen LLCCertificate of Waiver, Other practitioner11D2345847
- Bio Medical Applications of Georgia IncorporatedCertificate of Waiver, End stage renal disease dialysis facility11D1054047
- Carroll County Nephrology PCCertificate of Waiver, Physician office11D1093957
- Carrollton Surgical GroupCertificate of Waiver, Physician office11D2004903
- Center for Allergy and Asthma of WestCertificate of Waiver, Physician office11D1009377
- Chattahoochee Healthcare LLCCertificate of Waiver, Physician office11D0950002
Related
Questions
What is the CLIA number for Childrens Healthcare of West Georgia - Villa Rica in Villa Rica?
11D1044645, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Childrens Healthcare of West Georgia - Villa Rica hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1044645 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.