CLIA lab
CLIA 11D1092804: American Health Imaging of Fayetteville
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1092804 belongs to American Health Imaging of Fayetteville in Fayetteville, GA.
Certificate of Waiver, effective December 4, 2024, expires December 3, 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
- December 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 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
- 11D1092804
- Lab name
- American Health Imaging of Fayetteville
- Address
- 1240 Highway 54 West Building 400 Suite 402, Fayetteville, GA 30214
- Phone
- (770) 716-9300
- Fax
- (770) 716-6535
Annual test volume the lab reported
- Waived tests
- 400
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 American Health Imaging of Fayetteville in Fayetteville?
11D1092804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does American Health Imaging of Fayetteville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1092804 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.