CLIA lab

CLIA 11D2057803: Jencare Neighborhood Med CTR South Dekalb, LLC

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

CLIA number 11D2057803 belongs to Jencare Neighborhood Med CTR South Dekalb, LLC in Decatur, GA.

Certificate of Waiver, effective April 24, 2025, expires April 23, 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
April 24, 2025
Certificate expiration
April 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2013
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2057803
Lab name
Jencare Neighborhood Med CTR South Dekalb, LLC
Address
2124 Candler Road, Decatur, GA 30032
Phone
(305) 628-6117
Fax
(305) 650-0674

Annual test volume the lab reported

Waived tests
2,100

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

Affiliated CLIA numbers

Other labs in Decatur, GA

Related

Questions

What is the CLIA number for Jencare Neighborhood Med CTR South Dekalb, LLC in Decatur?

11D2057803, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jencare Neighborhood Med CTR South Dekalb, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2057803 expire?

The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.

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