CLIA lab
CLIA 11D1056958: Abc Pediatric Group PC
Stone Mountain, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1056958 belongs to Abc Pediatric Group PC in Stone Mountain, GA.
Certificate of Waiver, effective July 31, 2026, expires July 30, 2028.
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
- July 31, 2026
- Certificate expiration
- July 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2006
- 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
- 11D1056958
- Lab name
- Abc Pediatric Group PC
- Address
- 2240 West Park Place Boulevard Suite A, Stone Mountain, GA 30087
- Phone
- (770) 771-5222
- Fax
- (770) 771-5223
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CSL Plasma, Inc - Stone MountainCertificate of Compliance, Other11D2074466
- Center for Spine and Pain MedicineCertificate of Accreditation, Physician office11D1054832
- Centerwell Senior Primary Care - Stone MountainCertificate of Waiver, Physician office11D2255911
- Certivia Laboratories, LLCCertificate of Accreditation, Independent11D2168354
- Cobblestone Assisted Living at Park SpringsCertificate of Waiver, Assisted living facility11D2134406
- Dedicated Laboratory on the MoveCertificate of Waiver, Independent11D2344585
- Denali Health Atlanta, LLCCertificate of Waiver, Physician office11D2325627
- E Z Transport EMSCertificate of Waiver, Ambulance11D2297691
- Emory at RockbridgeCertificate of Waiver, Physician office11D0255955
Related
Questions
What is the CLIA number for Abc Pediatric Group PC in Stone Mountain?
11D1056958, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Abc Pediatric Group PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1056958 expire?
The CMS file lists July 30, 2028 as the certificate expiration date; the certificate took effect July 31, 2026.