CLIA lab
CLIA 11D1073893: Kaiser Permanente Stonecrest Mob
Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1073893 belongs to Kaiser Permanente Stonecrest Mob in Lithonia, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 26, 2025, expires September 25, 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
- September 26, 2025
- Certificate expiration
- September 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2007
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1073893
- Lab name
- Kaiser Permanente Stonecrest Mob
- Address
- 8011 Mall Parkway, Lithonia, GA 30038
- Phone
- (678) 323-7520
Annual test volume the lab reported
- Waived tests
- 3,100
- Provider-performed microscopy tests
- 120
- Total
- 3,220
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lithonia, GA
- Aga, LLCCertificate of Waiver, Physician office11D2003760
- Bio Medical Applications of Georgia IncorporateCertificate of Waiver, End stage renal disease dialysis facility11D1066019
- Brighteyes Clinical LaboratoryCertificate of Waiver, Mobile lab11D2327144
- Clearpath EMS LLCCertificate of Waiver, Ambulance11D2347449
- Community Whole Health ClinicCertificate of Waiver, Community clinic11D2322693
- Emory Healthcare at Miller GroveCertificate of Waiver, Physician office11D2092362
- Emory HillandaleCertificate for Provider-Performed Microscopy Procedures, Physician office11D2268863
- Emory Hillandale Hospital - Emory Medical LabCertificate of Accreditation, Hospital11D0893833
- Emory at Hillandale Lithonia, PCCertificate of Waiver, Physician office11D0714238
- Eseryt Care Trans, LLCCertificate of Waiver, Ambulance11D2280847
Related
Questions
What is the CLIA number for Kaiser Permanente Stonecrest Mob in Lithonia?
11D1073893, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Permanente Stonecrest Mob hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1073893 expire?
The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.