CLIA lab
CLIA 11D1097238: Haven at Fayetteville, the
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1097238 belongs to Haven at Fayetteville, the in Fayetteville, GA.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2009
- Facility type
- Assisted living facility
- 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
- 11D1097238
- Lab name
- Haven at Fayetteville, the
- Address
- 1294 Highway 54 West, Fayetteville, GA 30214
- Phone
- (770) 719-9010
- Fax
- (470) 374-5938
Annual test volume the lab reported
- Waived tests
- 64
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 Haven at Fayetteville, the in Fayetteville?
11D1097238, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Haven at Fayetteville, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1097238 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.