CLIA lab
CLIA 11D2115894: Bethesda Medical Group, LLC
Powder Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2115894 belongs to Bethesda Medical Group, LLC in Powder Springs, GA.
Certificate of Waiver, effective July 14, 2026, expires July 13, 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
- July 14, 2026
- Certificate expiration
- July 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 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
- 11D2115894
- Lab name
- Bethesda Medical Group, LLC
- Address
- 4039 Atlanta Street, Suite 100, Powder Springs, GA 30127
- Phone
- (678) 250-9505
- Fax
- (678) 606-9887
Annual test volume the lab reported
- Waived tests
- 250
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 Bethesda Medical Group, LLC in Powder Springs?
11D2115894, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethesda Medical Group, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2115894 expire?
The CMS file lists July 13, 2028 as the certificate expiration date; the certificate took effect July 14, 2026.