CLIA lab
CLIA 11D1100474: Eternal Faith Hospice and Palliative Care
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1100474 belongs to Eternal Faith Hospice and Palliative Care in Carrollton, GA.
Certificate of Waiver, effective June 8, 2025, expires June 7, 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 8, 2025
- Certificate expiration
- June 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 8, 2009
- Facility type
- Hospice
- 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
- 11D1100474
- Lab name
- Eternal Faith Hospice and Palliative Care
- Address
- 497 Rome Street, Carrollton, GA 30117
- Phone
- (770) 462-1047
- Fax
- (770) 462-1036
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Eternal Faith Hospice and Palliative CareCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Eternal Faith Hospice and Palliative Care in Carrollton?
11D1100474, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eternal Faith Hospice and Palliative Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1100474 expire?
The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.