CLIA lab
CLIA 11D2051672: Palms at Lake Spivey, the
Jonesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2051672 belongs to Palms at Lake Spivey, the in Jonesboro, GA.
Certificate of Waiver, effective December 26, 2024, expires December 25, 2026.
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 26, 2024
- Certificate expiration
- December 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 26, 2012
- Facility type
- Assisted living 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
- 11D2051672
- Lab name
- Palms at Lake Spivey, the
- Address
- 8080 Summit Business Parkway, Jonesboro, GA 30236
- Phone
- (770) 477-7207
Annual test volume the lab reported
- Waived tests
- 1,092
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Palms at Lake Spivey, the in Jonesboro?
11D2051672, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palms at Lake Spivey, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2051672 expire?
The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.