CLIA lab

CLIA 11D2044565: Agape Hospice Care of Carollton, LLC

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

CLIA number 11D2044565 belongs to Agape Hospice Care of Carollton, LLC in Villa Rica, GA.

Certificate of Waiver, effective September 17, 2025, expires September 16, 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
September 17, 2025
Certificate expiration
September 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 26, 2012
Facility type
Hospice
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
11D2044565
Lab name
Agape Hospice Care of Carollton, LLC
Address
126 W Montgomery Street, Villa Rica, GA 30180
Phone
(404) 763-1456
Fax
(678) 840-5511

Annual test volume the lab reported

Waived tests
150

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

Care facility at this address

Other labs in Villa Rica, GA

Related

Questions

What is the CLIA number for Agape Hospice Care of Carollton, LLC in Villa Rica?

11D2044565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Agape Hospice Care of Carollton, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2044565 expire?

The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.

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