CLIA lab
CLIA 11D2119969: Fp-Peachtree Immediate Care Fay
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2119969 belongs to Fp-Peachtree Immediate Care Fay in Fayetteville, GA.
Certificate of Waiver, effective October 7, 2026, expires October 6, 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 7, 2026
- Certificate expiration
- October 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 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
- 11D2119969
- Lab name
- Fp-Peachtree Immediate Care Fay
- Address
- 1275 Highway 54 W, Suite 201, Fayetteville, GA 30214
- Phone
- (770) 461-3776
- Fax
- (770) 461-3565
Annual test volume the lab reported
- Waived tests
- 2,488
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced AestheticsCertificate of Waiver, Ambulatory surgery center11D1056969
- Aesthetics of Fayetteville,llcCertificate of Waiver, Other practitioner11D2183819
- Aga, LLC DBA Atlanta GastroenterologyCertificate of Waiver, Physician office11D1031796
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- Allyant, LLCCertificate of Waiver, Ambulance11D2265750
- Alpha Internal MedicineCertificate of Accreditation, Physician office11D0941884
Related
Questions
What is the CLIA number for Fp-Peachtree Immediate Care Fay in Fayetteville?
11D2119969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fp-Peachtree Immediate Care Fay hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2119969 expire?
The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.