CLIA lab

CLIA 11D2077893: Graham Pediatrics of Woodstock

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

CLIA number 11D2077893 belongs to Graham Pediatrics of Woodstock in Woodstock, GA.

Certificate of Waiver, effective May 16, 2026, expires May 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
May 16, 2026
Certificate expiration
May 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 16, 2014
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
11D2077893
Lab name
Graham Pediatrics of Woodstock
Address
105 Mirramont Lake Drive, Woodstock, GA 30189
Phone
(770) 485-9670
Fax
(678) 401-7658

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Woodstock, GA

Related

Questions

What is the CLIA number for Graham Pediatrics of Woodstock in Woodstock?

11D2077893, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Graham Pediatrics of Woodstock hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2077893 expire?

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

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