CLIA lab
CLIA 11D2033048: Potter's Behavioral Medicine Clinic, the
Hiram, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2033048 belongs to Potter's Behavioral Medicine Clinic, the in Hiram, GA.
Certificate of Waiver, effective June 14, 2025, expires June 13, 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
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 22, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2033048
- Lab name
- Potter's Behavioral Medicine Clinic, the
- Address
- 5604 Wendy Bagwell Pkwy, Ste 611, Hiram, GA 30141
- Phone
- (770) 439-3070
- Fax
- (770) 439-3071
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hiram, GA
- Aga LLCCertificate of Waiver, Physician office11D1085041
- American Health Imaging of HiramCertificate of Waiver, Independent11D2125729
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1095730
- Center for Allergy and Asthma of West Ga, PCCertificate of Waiver, Physician office11D2007451
- Children's Medical Associate, LLCCertificate of Waiver, Physician office11D0254146
- Cobbwest Internal Medicine Associates, LLCCertificate of Waiver, Physician office11D2059133
- FP- Peachtree Immediate Care - HirCertificate of Waiver, Physician office11D1043488
- Fresenius Medical Care HiramCertificate of Waiver, End stage renal disease dialysis facility11D2008298
- Georgia Kidney Associates, IncCertificate for Provider-Performed Microscopy Procedures, Physician office11D2230320
- Georgia Pain and Spine Solutions, PCCertificate of Waiver, Physician office11D2154585
Related
Questions
What is the CLIA number for Potter's Behavioral Medicine Clinic, the in Hiram?
11D2033048, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Potter's Behavioral Medicine Clinic, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2033048 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.