CLIA lab

CLIA 11D2082378: Premise Health of Georgia Medical, PC

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

CLIA number 11D2082378 belongs to Premise Health of Georgia Medical, PC in Monroe, GA.

Certificate for Provider-Performed Microscopy Procedures, effective November 8, 2024, expires November 7, 2026.

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 for Provider-Performed Microscopy Procedures
Certificate effective
November 8, 2024
Certificate expiration
November 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 13, 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
11D2082378
Lab name
Premise Health of Georgia Medical, PC
Address
501 Mt Vernon Road, Monroe, GA 30655
Phone
(470) 273-3255
Fax
(770) 267-2512

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
24
Total
524

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

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Related

Questions

What is the CLIA number for Premise Health of Georgia Medical, PC in Monroe?

11D2082378, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of Georgia Medical, PC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2082378 expire?

The CMS file lists November 7, 2026 as the certificate expiration date; the certificate took effect November 8, 2024.

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