CLIA lab
CLIA 11D1093957: Carroll County Nephrology PC
Villa Rica, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1093957 belongs to Carroll County Nephrology PC in Villa Rica, GA.
Certificate of Waiver, effective January 7, 2025, expires January 6, 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 of Waiver
- Certificate effective
- January 7, 2025
- Certificate expiration
- January 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 2009
- Facility type
- Physician office
- 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
- 11D1093957
- Lab name
- Carroll County Nephrology PC
- Address
- 403 Permian Way, Suite B, Villa Rica, GA 30180
- Phone
- (770) 832-0429
- Fax
- (770) 838-9108
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Villa Rica, GA
- 3 16 Healthcare-Family Medicine & Kids CornerCertificate of Waiver, Physician office11D2327810
- Agape Hospice Care of Carollton, LLCCertificate of Waiver, Hospice11D2044565
- Altus Hospice of Georgia, LLCCertificate of Waiver, Hospice11D1076785
- Angel Heart Hospice DBA Family HospiceCertificate of Waiver, Hospice11D2195353
- BJK Specimen LLCCertificate of Waiver, Other practitioner11D2345847
- Bio Medical Applications of Georgia IncorporatedCertificate of Waiver, End stage renal disease dialysis facility11D1054047
- Carrollton Surgical GroupCertificate of Waiver, Physician office11D2004903
- Center for Allergy and Asthma of WestCertificate of Waiver, Physician office11D1009377
- Chattahoochee Healthcare LLCCertificate of Waiver, Physician office11D0950002
- Childrens Healthcare of West Georgia - Villa RicaCertificate of Waiver, Physician office11D1044645
Related
Questions
What is the CLIA number for Carroll County Nephrology PC in Villa Rica?
11D1093957, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carroll County Nephrology PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1093957 expire?
The CMS file lists January 6, 2027 as the certificate expiration date; the certificate took effect January 7, 2025.