CLIA lab
CLIA 11D1104615: Family Medical Clinic of Mcdonough
Mcdonough, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1104615 belongs to Family Medical Clinic of Mcdonough in Mcdonough, GA.
Certificate of Accreditation, effective October 13, 2024, expiration date October 12, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 Accreditation
- Certificate effective
- October 13, 2024
- Certificate expiration
- October 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1104615
- Lab name
- Family Medical Clinic of Mcdonough
- Address
- 1631 Highway 20 West, Mcdonough, GA 30253
- Phone
- (770) 288-2822
Annual test volume the lab reported
- Waived tests
- 2,600
- Tests under accreditation
- 2,600
- Total
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bella DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2120550
- Beyond Your Ordinary Treatment CenterCertificate of Waiver, Other11D2178068
- Biolife Plasma Services LPCertificate of Compliance, Other11D2160347
- Biosafe Solutions, LLCCertificate of Waiver, Mobile lab11D2337953
- Bohland Family & Sports Chiropractic ClinicCertificate of Waiver, Other practitioner11D2146258
- Bright Star Healthcare Group, LLCCertificate of Waiver, Comprehensive outpatient rehab facility11D2167617
Related
Questions
What is the CLIA number for Family Medical Clinic of Mcdonough in Mcdonough?
11D1104615, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medical Clinic of Mcdonough hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 11D1104615 expire?
The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.