CLIA lab

CLIA 11D1046154: Excellent Pediatric

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

CLIA number 11D1046154 belongs to Excellent Pediatric in Monroe, GA.

Certificate of Waiver, effective October 3, 2025, expires October 2, 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 3, 2025
Certificate expiration
October 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 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
11D1046154
Lab name
Excellent Pediatric
Address
333 Alcovy Street, SUITE1, Monroe, GA 30655
Phone
(678) 807-2230
Fax
(770) 267-5710

Annual test volume the lab reported

Waived tests
2,591

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 Excellent Pediatric in Monroe?

11D1046154, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Excellent Pediatric hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1046154 expire?

The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.

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