CLIA lab
CLIA 11D1065294: Covenant Family Medicine GMG, LLC
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1065294 belongs to Covenant Family Medicine GMG, LLC in Dacula, GA.
Certificate of Waiver, effective June 6, 2025, expires June 5, 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
- June 6, 2025
- Certificate expiration
- June 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2007
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 11D1065294
- Lab name
- Covenant Family Medicine GMG, LLC
- Address
- 2069 Teron Trace, Suite 100, Dacula, GA 30019
- Phone
- (678) 730-1620
- Fax
- (678) 730-0858
Annual test volume the lab reported
- Waived tests
- 5,000
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 Covenant Family Medicine GMG, LLC in Dacula?
11D1065294, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Covenant Family Medicine GMG, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1065294 expire?
The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.