CLIA lab
CLIA 11D2081984: Locust Grove Dialysis
Locust Grove, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2081984 belongs to Locust Grove Dialysis in Locust Grove, GA.
Certificate of Waiver, effective August 5, 2026, expires August 4, 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
- August 5, 2026
- Certificate expiration
- August 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2014
- Facility type
- End stage renal disease dialysis facility
- 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
- 11D2081984
- Lab name
- Locust Grove Dialysis
- Address
- 521 Stanley K Tanger Blvd, Locust Grove, GA 30248
- Phone
- (770) 914-1432
- Fax
- (770) 957-7565
Annual test volume the lab reported
- Waived tests
- 2,184
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Locust Grove DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Locust Grove, GA
- Aga LLCCertificate of Waiver, Physician office11D1079881
- Atlanta Heart Associates, PCCertificate of Waiver, Physician office11D2020892
- Aylo Health- Locust GroveCertificate of Accreditation, Physician office11D0925484
- Carenova IncCertificate of Waiver, Physician office11D2329094
- Dna Med Services LLCCertificate of Waiver, Independent11D2328959
- Emory Medical Laboratory at Locust GroveCertificate of Waiver, Other11D1005484
- ExpercareCertificate of Waiver, Physician office11D2345397
- FP- Peachtree Immediate Care-LgvCertificate of Waiver, Physician office11D2189680
- Family Medical and Urgent Care Clinic LLCCertificate of Compliance, Physician office11D2287107
- Fresenius Kidney Care Locust GroveCertificate of Waiver, End stage renal disease dialysis facility11D2172137
Related
Questions
What is the CLIA number for Locust Grove Dialysis in Locust Grove?
11D2081984, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Locust Grove Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2081984 expire?
The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.