CLIA lab

CLIA 11D2071621: Marietta Eye Clinic

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

CLIA number 11D2071621 belongs to Marietta Eye Clinic in Douglasville, GA.

Certificate of Waiver, effective January 16, 2026, expires January 15, 2028.

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
January 16, 2026
Certificate expiration
January 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 16, 2014
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

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

Lab and contact

CLIA number
11D2071621
Lab name
Marietta Eye Clinic
Address
8841 Hospital Drive, Douglasville, GA 30134
Phone
(770) 577-2220
Fax
(770) 577-2771

Annual test volume the lab reported

Waived tests
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 Douglasville, GA

Related

Questions

What is the CLIA number for Marietta Eye Clinic in Douglasville?

11D2071621, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Marietta Eye Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2071621 expire?

The CMS file lists January 15, 2028 as the certificate expiration date; the certificate took effect January 16, 2026.

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