CLIA lab
CLIA 11D1060303: Evergreen Family Medicine LLC
Duluth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1060303 belongs to Evergreen Family Medicine LLC in Duluth, GA.
Certificate of Waiver, effective March 3, 2025, expires March 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
- March 3, 2025
- Certificate expiration
- March 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 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
- 11D1060303
- Lab name
- Evergreen Family Medicine LLC
- Address
- 3635 Peachtree Industrial Boulevard, Suite 550, Duluth, GA 30096
- Phone
- (770) 545-8380
- Fax
- (770) 545-8383
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Related
Questions
What is the CLIA number for Evergreen Family Medicine LLC in Duluth?
11D1060303, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Family Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1060303 expire?
The CMS file lists March 2, 2027 as the certificate expiration date; the certificate took effect March 3, 2025.