CLIA lab

CLIA 11D2031662: Katie Clinic, Inc

Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2031662 belongs to Katie Clinic, Inc in Austell, GA.

Certificate of Waiver, effective October 25, 2025, expires October 24, 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
October 25, 2025
Certificate expiration
October 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 25, 2011
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
11D2031662
Lab name
Katie Clinic, Inc
Address
4585 Austell Road, Austell, GA 30106
Phone
(770) 948-9338
Fax
(770) 948-5556

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Austell, GA

Related

Questions

What is the CLIA number for Katie Clinic, Inc in Austell?

11D2031662, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Katie Clinic, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2031662 expire?

The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.

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