CLIA lab
CLIA 11D2119401: Caedel Wellness Center, LLC
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2119401 belongs to Caedel Wellness Center, LLC in Fayetteville, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 27, 2024, expiration date September 26, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 27, 2024
- Certificate expiration
- September 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2119401
- Lab name
- Caedel Wellness Center, LLC
- Address
- 101 Devant Street, Suite 803, Fayetteville, GA 30214
- Phone
- (678) 216-0342
- Fax
- (678) 216-0348
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fayetteville, GA
- 1st Class AmbulanceCertificate of Waiver, Ambulance11D2243867
- A Kids World Pediatrics LLCCertificate of Waiver, Physician office11D1003938
- Abc Pediatrics PCCertificate of Waiver, Physician office11D0937556
- Access Health Treatment CenterCertificate of Waiver, Other11D2099554
- Advanced AestheticsCertificate of Waiver, Ambulatory surgery center11D1056969
- Aesthetics of Fayetteville,llcCertificate of Waiver, Other practitioner11D2183819
- Aga, LLC DBA Atlanta GastroenterologyCertificate of Waiver, Physician office11D1031796
- Air Evac Lifeteam Ael 153Certificate of Waiver, Mobile lab11D2177966
- Allyant, LLCCertificate of Waiver, Ambulance11D2265750
- Alpha Internal MedicineCertificate of Accreditation, Physician office11D0941884
Related
Questions
What is the CLIA number for Caedel Wellness Center, LLC in Fayetteville?
11D2119401, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Caedel Wellness Center, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2119401 expire?
The CMS file lists September 26, 2026 as the certificate expiration date; the certificate took effect September 27, 2024.