CLIA lab
CLIA 11D2017911: Back To Life Medical Group
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2017911 belongs to Back To Life Medical Group in Canton, GA.
Certificate of Compliance, effective August 21, 2025, expires August 20, 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 Compliance
- Certificate effective
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2017911
- Lab name
- Back To Life Medical Group
- Address
- 557 Riverstone Parkway, Suite 140, Canton, GA 30114
- Phone
- (770) 345-2000
- Fax
- (770) 345-4524
Annual test volume the lab reported
- Other nonwaived tests
- 3,690
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Canton, GA
- Advanced Center for Joint Replacement Cherokee,llcCertificate of Waiver, Ambulatory surgery center11D2310331
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Back To Life Medical Group in Canton?
11D2017911, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Back To Life Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2017911 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.