CLIA lab

CLIA 11D1100177: Peachtree City Dialysis

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

CLIA number 11D1100177 belongs to Peachtree City Dialysis in Peachtree City, GA.

Certificate of Waiver, effective June 1, 2025, expires May 31, 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
June 1, 2025
Certificate expiration
May 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 1, 2009
Facility type
End stage renal disease dialysis 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
11D1100177
Lab name
Peachtree City Dialysis
Address
2832 W Highway 54 Bldg 100 Suite J & K, Peachtree City, GA 30269
Phone
(678) 364-9165
Fax
(678) 364-9823

Annual test volume the lab reported

Waived tests
3,120

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

Other labs in Peachtree City, GA

Related

Questions

What is the CLIA number for Peachtree City Dialysis in Peachtree City?

11D1100177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peachtree City Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1100177 expire?

The CMS file lists May 31, 2027 as the certificate expiration date; the certificate took effect June 1, 2025.

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