CLIA lab
CLIA 11D2115096: Ellijay Urgent Care & Family Practice LLC
Ellijay, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2115096 belongs to Ellijay Urgent Care & Family Practice LLC in Ellijay, GA.
Certificate of Waiver, effective June 28, 2026, expires June 27, 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
- June 28, 2026
- Certificate expiration
- June 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2016
- 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
- 11D2115096
- Lab name
- Ellijay Urgent Care & Family Practice LLC
- Address
- 97 Hefner Street, Suite 202, Ellijay, GA 30540
- Phone
- (706) 635-5177
- Fax
- (706) 635-5171
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- City of Ellijay Fire DepartmentCertificate of Waiver, Other11D2235927
- Compassus - North GeorgiaCertificate of Waiver, Hospice11D1086594
- Dermatology Specialists of Georgia, LLCCertificate of Registration, Physician office11D2034034
- Galloway Dermatologic SurgeryCertificate of Compliance, Physician office11D2266398
- Georgia Mountains Health of EllijayCertificate of Waiver, Community clinic11D0973390
- Georgia UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2266240
- Gilmer County Fire RescueCertificate of Waiver, Ambulance11D2208616
- Gilmer County Jail Medical DepartmentCertificate of Waiver, Other11D1049298
- Huff's Drug StoreCertificate of Waiver, Pharmacy11D2043255
- Ingles Markets, Inc (Ingles Pharmacy #409)Certificate of Waiver, Pharmacy11D2184994
Related
Questions
What is the CLIA number for Ellijay Urgent Care & Family Practice LLC in Ellijay?
11D2115096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellijay Urgent Care & Family Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2115096 expire?
The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.