CLIA lab

CLIA 11D2119902: UC- Peachtree Immediate Care Cob

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

CLIA number 11D2119902 belongs to UC- Peachtree Immediate Care Cob in Kennesaw, GA.

Certificate of Waiver, effective October 6, 2026, expires October 5, 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
October 6, 2026
Certificate expiration
October 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 6, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
11D2119902
Lab name
UC- Peachtree Immediate Care Cob
Address
2481 George Busbee Parkway, NW, Kennesaw, GA 30144
Phone
(770) 423-0000
Fax
(770) 423-0131

Annual test volume the lab reported

Waived tests
1,499

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

Other labs in Kennesaw, GA

Related

Questions

What is the CLIA number for UC- Peachtree Immediate Care Cob in Kennesaw?

11D2119902, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does UC- Peachtree Immediate Care Cob hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2119902 expire?

The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.

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