CLIA lab
CLIA 11D2091783: Lake Acworth Family Practice
Acworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2091783 belongs to Lake Acworth Family Practice in Acworth, GA.
Certificate of Waiver, effective February 19, 2025, expires February 18, 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 of Waiver
- Certificate effective
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 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
- 11D2091783
- Lab name
- Lake Acworth Family Practice
- Address
- 5655 Lake Ackworth Dr Suite 120, Acworth, GA 30101
- Phone
- (404) 353-6317
- Fax
- (866) 880-9663
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Acworth Dermatology & Skin CancerCertificate of Compliance, Physician office11D2086982
- Acworth Family EyecareCertificate of Waiver, Physician office11D2146581
- Acworth Primary HealthcareCertificate of Waiver, Physician office11D0993631
- Addiction Treatment Center of AtlantaCertificate of Registration, Physician office11D2307608
- American Clinical TrialsCertificate of Waiver, Physician office11D2204597
- Assured Hospice Care, LLCCertificate of Waiver, Hospice11D1091870
- Bio-Medical Applications of Georgia IncCertificate of Waiver, End stage renal disease dialysis facility11D2037114
- Celebration Village AcworthCertificate of Waiver, Assisted living facility11D2125687
- Center for Spine Interventions ASC 3, LLCCertificate of Waiver, Physician office11D2125680
Related
Questions
What is the CLIA number for Lake Acworth Family Practice in Acworth?
11D2091783, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Acworth Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2091783 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.