CLIA lab
CLIA 11D1048896: Georgia Gynecology PC
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1048896 belongs to Georgia Gynecology PC in Kennesaw, GA.
Certificate for Provider-Performed Microscopy Procedures, effective December 14, 2025, expires December 13, 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
- December 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 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
- 11D1048896
- Lab name
- Georgia Gynecology PC
- Address
- 1690 Stone Village Lane Suite 401, Kennesaw, GA 30152
- Phone
- (770) 427-2533
- Fax
- (770) 427-2535
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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Related
Questions
What is the CLIA number for Georgia Gynecology PC in Kennesaw?
11D1048896, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Gynecology PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1048896 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.