CLIA lab
CLIA 11D2004077: Daybreak Village Assisted Living, LLC
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2004077 belongs to Daybreak Village Assisted Living, LLC in Kennesaw, GA.
Certificate of Waiver, effective February 25, 2026, expires February 24, 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 25, 2026
- Certificate expiration
- February 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2010
- Facility type
- Assisted living 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
- 11D2004077
- Lab name
- Daybreak Village Assisted Living, LLC
- Address
- 3056 Cherokee Street, Kennesaw, GA 30144
- Phone
- (770) 218-6166
- Fax
- (770) 218-6183
Annual test volume the lab reported
- Waived tests
- 5,840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Daybreak Village Assisted Living, LLC in Kennesaw?
11D2004077, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Daybreak Village Assisted Living, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2004077 expire?
The CMS file lists February 24, 2028 as the certificate expiration date; the certificate took effect February 25, 2026.