CLIA lab
CLIA 11D2051695: Peach State Pediatrics, PC
Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2051695 belongs to Peach State Pediatrics, PC in Austell, GA.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 26, 2012
- 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
- 11D2051695
- Lab name
- Peach State Pediatrics, PC
- Address
- 3875 Austell Road, Suite 203, Austell, GA 30106
- Phone
- (850) 320-0169
Annual test volume the lab reported
- Waived tests
- 200
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 Peach State Pediatrics, PC in Austell?
11D2051695, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peach State Pediatrics, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2051695 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.