CLIA lab
CLIA 11D1063455: Multi Specialty Clinic
Louisville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1063455 belongs to Multi Specialty Clinic in Louisville, GA.
Certificate for Provider-Performed Microscopy Procedures, effective January 16, 2025, expires January 15, 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
- January 16, 2025
- Certificate expiration
- January 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 16, 2007
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- 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
- 11D1063455
- Lab name
- Multi Specialty Clinic
- Address
- 1067 Peachtree Street, Louisville, GA 30434
- Phone
- (478) 625-7200
- Fax
- (478) 625-3758
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Jefferson County Correctional InstCertificate of Waiver, Other11D2104420
- Jefferson County JailCertificate of Waiver, Other11D2303683
- Jefferson HospitalCertificate of Accreditation, Hospital11D0261004
- Louisville Dialysis Clinic LLCCertificate of Waiver, End stage renal disease dialysis facility11D0995432
- Physicians Health GroupCertificate for Provider-Performed Microscopy Procedures, Physician office11D0260999
- Physicians Health GroupCertificate of Waiver, Physician office11D0906113
- Pruitthealth - Old CapitolCertificate of Waiver, Skilled nursing or nursing facility11D0645917
- Wellstar Ob/Gyn Jefferson CountyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2331301
Related
Questions
What is the CLIA number for Multi Specialty Clinic in Louisville?
11D1063455, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Multi Specialty Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1063455 expire?
The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.