CLIA lab
CLIA 11D1047460: Harbor Grace Hospice
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1047460 belongs to Harbor Grace Hospice in Fayetteville, GA.
Certificate of Waiver, effective November 7, 2025, expires November 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
- November 7, 2025
- Certificate expiration
- November 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2005
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1047460
- Lab name
- Harbor Grace Hospice
- Address
- 500 Lanier Avenue West, Suite 401, Fayetteville, GA 30214
- Phone
- (678) 962-5850
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.
Care facility at this address
- Harbor Grace Hospice, IncCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Harbor Grace Hospice in Fayetteville?
11D1047460, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Harbor Grace Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1047460 expire?
The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.