CLIA lab
CLIA 11D2090357: Maternal Gynerations, PC
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2090357 belongs to Maternal Gynerations, PC in Dacula, GA.
Certificate for Provider-Performed Microscopy Procedures, effective January 22, 2025, expires January 21, 2027.
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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2015
- 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
- 11D2090357
- Lab name
- Maternal Gynerations, PC
- Address
- 2098 Teron Trace, Suite 150, Dacula, GA 30019
- Phone
- (770) 513-4000
- Fax
- (770) 995-3495
Annual test volume the lab reported
- Waived tests
- 3,500
- Provider-performed microscopy tests
- 300
- Total
- 3,800
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 Maternal Gynerations, PC in Dacula?
11D2090357, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maternal Gynerations, PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2090357 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.