CLIA lab
CLIA 11D2033813: Ellenwood Dialysis Center, LLC
Ellenwood, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2033813 belongs to Ellenwood Dialysis Center, LLC in Ellenwood, GA.
Certificate of Waiver, effective December 12, 2025, expires December 11, 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
- December 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 2011
- Facility type
- End stage renal disease dialysis 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
- 11D2033813
- Lab name
- Ellenwood Dialysis Center, LLC
- Address
- 209 Bennette Blvd, Ellenwood, GA 30294
- Phone
- (770) 996-6446
- Fax
- (678) 833-3981
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Ellenwood Dialysis CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Ellenwood, GA
- Aylo Health-EllenwoodCertificate of Accreditation, Physician office11D0984979
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #05633Certificate of Waiver, Pharmacy11D2282590
- Kroger Pharmacy #427Certificate of Waiver, Pharmacy11D0983258
- Nursethicks Dot SolutionsCertificate of Waiver, Other practitioner11D2246818
- Onsite Lab ServiceCertificate of Waiver, Mobile lab11D2326145
- Pho Healthcare, LLCCertificate of Waiver, Mobile lab11D2248101
- Piedmont Physicians Group of EllenwoodCertificate of Waiver, Physician office11D2183289
- Piedmont Urgent Care By WellstreetCertificate of Waiver, Other11D2244464
- Quikmed-EllenwoodCertificate of Waiver, Physician office11D2324263
- True Dna Diagnostic, LLCCertificate of Waiver, Mobile lab11D2346947
Related
Questions
What is the CLIA number for Ellenwood Dialysis Center, LLC in Ellenwood?
11D2033813, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellenwood Dialysis Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2033813 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.