CLIA lab
CLIA 11D1100394: Magnolia Family Medicine
Chatsworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1100394 belongs to Magnolia Family Medicine in Chatsworth, GA.
Certificate for Provider-Performed Microscopy Procedures, effective July 26, 2026, expires July 25, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- July 26, 2026
- Certificate expiration
- July 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 2009
- 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
- 11D1100394
- Lab name
- Magnolia Family Medicine
- Address
- 1111 Highway 76, Chatsworth, GA 30705
- Phone
- (706) 695-5500
- Fax
- (706) 695-5512
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 150
- Total
- 1,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Chatsworth, GA
- Advent Health Medical Group CardiologyCertificate of Waiver, Physician office11D2313133
- Adventhealth Medcial Group Family Medicine at CookCertificate for Provider-Performed Microscopy Procedures, Physician office11D0262298
- Adventhealth Medical Group Family MedicineCertificate of Compliance, Physician office11D0262297
- Adventhealth Medical Group Family MedicineCertificate of Waiver, Physician office11D2125677
- Adventhealth Medical Group MultispecialtyCertificate of Waiver, Physician office11D2147187
- Adventhealth Medical Group Ob/GynCertificate of Waiver, Physician office11D2132618
- Adventhealth MurrayCertificate of Accreditation, Hospital11D0645982
- Adventhealth Murray EMSCertificate of Waiver, Ambulance11D2246879
- Cook Primary Care, LLCCertificate of Waiver, Physician office11D2336911
- Corner DrugsCertificate of Waiver, Pharmacy11D2169937
Related
Questions
What is the CLIA number for Magnolia Family Medicine in Chatsworth?
11D1100394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Family Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1100394 expire?
The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.