CLIA lab

CLIA 11D1092516: Athens Geriatrics and Internal Medicine PC

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

CLIA number 11D1092516 belongs to Athens Geriatrics and Internal Medicine PC in Monroe, GA.

Certificate of Waiver, effective November 26, 2024, expires November 25, 2026.

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
November 26, 2024
Certificate expiration
November 25, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 26, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
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
11D1092516
Lab name
Athens Geriatrics and Internal Medicine PC
Address
696 Breedlove Drive Suite D, Monroe, GA 30655
Phone
(770) 207-5677
Fax
(706) 549-0088

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Monroe, GA

Related

Questions

What is the CLIA number for Athens Geriatrics and Internal Medicine PC in Monroe?

11D1092516, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Athens Geriatrics and Internal Medicine PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1092516 expire?

The CMS file lists November 25, 2026 as the certificate expiration date; the certificate took effect November 26, 2024.

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