CLIA lab
CLIA 11D1076789: Agc Pediatric LLC
Cartersville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1076789 belongs to Agc Pediatric LLC in Cartersville, GA.
Certificate of Waiver, effective May 13, 2026, expires May 12, 2028.
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
- May 13, 2026
- Certificate expiration
- May 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1076789
- Lab name
- Agc Pediatric LLC
- Address
- 5 Medical Drive, NE, Cartersville, GA 30121
- Phone
- (706) 625-5900
- Fax
- (866) 751-8064
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Cartersville, GA
- Absolute Care Ambulance ServiceCertificate of Waiver, Ambulance11D2348456
- Adventhealth Medical Group at Medical DriveCertificate for Provider-Performed Microscopy Procedures, Physician office11D0256344
- Adventhealth Primary Care + CartersvilleCertificate of Waiver, Other11D2326867
- Affinis Hospice, LLCCertificate of Waiver, Hospice11D1077238
- Aga, LLC DBA Atlanta Gastroenterology AssociatesCertificate of Waiver, Physician office11D2348117
- Alan Kozarsky, MDCertificate of Waiver, Physician office11D2190849
- Amedisys Hospice Care of CartersvilleCertificate of Waiver, Hospice11D1078954
- Atrium Health Floyd Primary CareCertificate of Waiver, Physician office11D0922666
- Bartow County Fire and Emergency ServicesCertificate of Waiver, Ambulance11D2197707
- Bartow County JailCertificate of Waiver, Other11D2001159
Related
Questions
What is the CLIA number for Agc Pediatric LLC in Cartersville?
11D1076789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Agc Pediatric LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1076789 expire?
The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.