CLIA lab
CLIA 11D2057919: Pruitthealth Home Health - South Atlanta, Inc
Griffin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2057919 belongs to Pruitthealth Home Health - South Atlanta, Inc in Griffin, GA.
Certificate of Waiver, effective April 25, 2025, expires April 24, 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 25, 2025
- Certificate expiration
- April 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2013
- Facility type
- Home health agency
- 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
- 11D2057919
- Lab name
- Pruitthealth Home Health - South Atlanta, Inc
- Address
- 147 W Ellis Road, Suites B&c, Griffin, GA 30223
- Phone
- (770) 228-0525
- Fax
- (770) 228-0894
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bridge Behavioral HealthCertificate of Waiver, Physician office11D2336910
- Brightmoor Health Center IncCertificate of Waiver, Skilled nursing or nursing facility11D0257309
- Brightmoor Hospice IncorporatedCertificate of Waiver, Hospice11D1033014
- Brightmoor Senior LivingCertificate of Waiver, Other11D2238477
- C B Reddy MDCertificate of Waiver, Physician office11D0257288
- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2158559
Related
Questions
What is the CLIA number for Pruitthealth Home Health - South Atlanta, Inc in Griffin?
11D2057919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth Home Health - South Atlanta, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2057919 expire?
The CMS file lists April 24, 2027 as the certificate expiration date; the certificate took effect April 25, 2025.