CLIA lab
CLIA 11D2087615: Village Medical
Locust Grove, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2087615 belongs to Village Medical in Locust Grove, GA.
Certificate of Waiver, effective December 1, 2024, expires November 30, 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 of Waiver
- Certificate effective
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 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
- 11D2087615
- Lab name
- Village Medical
- Address
- 3334 Hwy 155 South, Suites A & B, Locust Grove, GA 30248
- Phone
- (770) 305-7929
- Fax
- (770) 305-7969
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.
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 Village Medical in Locust Grove?
11D2087615, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Village Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2087615 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.