CLIA lab

CLIA 11D2117559: Aucc Grovetown 1

Grovetown, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2117559 belongs to Aucc Grovetown 1 in Grovetown, GA.

Certificate of Waiver, effective August 18, 2026, expires August 17, 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
August 18, 2026
Certificate expiration
August 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 18, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2117559
Lab name
Aucc Grovetown 1
Address
417 Lewiston Road, Suite 5, Grovetown, GA 30813
Phone
(706) 826-2112
Fax
(706) 364-2927

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Grovetown, GA

Related

Questions

What is the CLIA number for Aucc Grovetown 1 in Grovetown?

11D2117559, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aucc Grovetown 1 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2117559 expire?

The CMS file lists August 17, 2028 as the certificate expiration date; the certificate took effect August 18, 2026.

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