CLIA lab
CLIA 11D2003621: Lifetime Medical Center, PC
Ellijay, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2003621 belongs to Lifetime Medical Center, PC in Ellijay, GA.
Certificate of Waiver, effective February 15, 2026, expires February 14, 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
- February 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2010
- Facility type
- Physician office
- 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
- 11D2003621
- Lab name
- Lifetime Medical Center, PC
- Address
- 14244 Hwy 515 N- Suite 100, Ellijay, GA 30536
- Phone
- (706) 698-5433
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Compassus - North GeorgiaCertificate of Waiver, Hospice11D1086594
- Dermatology Specialists of Georgia, LLCCertificate of Registration, Physician office11D2034034
- Ellijay Urgent Care & Family Practice LLCCertificate of Waiver, Physician office11D2115096
- Galloway Dermatologic SurgeryCertificate of Compliance, Physician office11D2266398
- Georgia Mountains Health of EllijayCertificate of Waiver, Community clinic11D0973390
- Georgia UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2266240
- Gilmer County Fire RescueCertificate of Waiver, Ambulance11D2208616
- Gilmer County Jail Medical DepartmentCertificate of Waiver, Other11D1049298
- Huff's Drug StoreCertificate of Waiver, Pharmacy11D2043255
Related
Questions
What is the CLIA number for Lifetime Medical Center, PC in Ellijay?
11D2003621, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifetime Medical Center, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2003621 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.