CLIA lab

CLIA 11D2119917: FP - Peachtree Immediate Care - Gwi

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

CLIA number 11D2119917 belongs to FP - Peachtree Immediate Care - Gwi in Duluth, 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
9

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

Lab and contact

CLIA number
11D2119917
Lab name
FP - Peachtree Immediate Care - Gwi
Address
3551 Satellite Blvd, Duluth, GA 30096
Phone
(770) 476-3000
Fax
(770) 476-4066

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Duluth, GA

Related

Questions

What is the CLIA number for FP - Peachtree Immediate Care - Gwi in Duluth?

11D2119917, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FP - Peachtree Immediate Care - Gwi hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2119917 expire?

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

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