CLIA lab

CLIA 11D1079765: Any Lab Test

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

CLIA number 11D1079765 belongs to Any Lab Test in Duluth, GA.

Certificate of Waiver, effective February 7, 2026, expires February 6, 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
February 7, 2026
Certificate expiration
February 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 7, 2008
Facility type
Independent
Ownership (control type)
Proprietary
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
11D1079765
Lab name
Any Lab Test
Address
3665 Club Drive, Suite 103A, Duluth, GA 30096
Phone
(770) 495-0282
Fax
(770) 495-1340

Annual test volume the lab reported

Waived tests
1,000

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 Any Lab Test in Duluth?

11D1079765, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Any Lab Test hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1079765 expire?

The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.

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