CLIA lab

CLIA 11D1061564: Primary Pediatrics of Mcdonough

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

CLIA number 11D1061564 belongs to Primary Pediatrics of Mcdonough in Mcdonough, GA.

Certificate of Compliance, effective May 29, 2025, expires May 28, 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 Compliance
Certificate effective
May 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 21, 2006
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1061564
Lab name
Primary Pediatrics of Mcdonough
Address
110 A Regency Park Drive, Mcdonough, GA 30253
Phone
(770) 288-2285
Fax
(770) 288-2284

Annual test volume the lab reported

Waived tests
8,940
Other nonwaived tests
2,365
Total
11,305

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Mcdonough, GA

Related

Questions

What is the CLIA number for Primary Pediatrics of Mcdonough in Mcdonough?

11D1061564, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Primary Pediatrics of Mcdonough hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D1061564 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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