CLIA lab
CLIA 11D2120072: DR Miniyar's Pediatrics - Cedartown
Cedartown, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2120072 belongs to DR Miniyar's Pediatrics - Cedartown in Cedartown, GA.
Certificate of Waiver, effective October 11, 2024, expiration date October 10, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 11, 2024
- Certificate expiration
- October 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 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
- 11D2120072
- Lab name
- DR Miniyar's Pediatrics - Cedartown
- Address
- 114 Plantation Ave, Cedartown, GA 30125
- Phone
- (678) 901-0717
- Fax
- (678) 901-0718
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Cedartown, GA
- Adventhealth Medical Group at CedartownCertificate of Waiver, Physician office11D2276670
- Atrium Health - NorthsideCertificate of Waiver, School or student health service11D2285352
- Atrium Health - WestsideCertificate of Waiver, School or student health service11D2285353
- Atrium Health - Youngs GroveCertificate of Waiver, School or student health service11D2285356
- Atrium Health Floyd Polk MedicalCertificate of Accreditation, Hospital11D0670518
- Atrium Health Floyd Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office11D0256378
- Atrium Health Floyd Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office11D0906012
- Atrium Health- Cherokee ElementaryCertificate of Waiver, School or student health service11D2275426
- Atrium Health-Cedartown HighCertificate of Waiver, School or student health service11D2171544
- Cedar Valley Nursing & Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility11D0681203
Related
Questions
What is the CLIA number for DR Miniyar's Pediatrics - Cedartown in Cedartown?
11D2120072, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Miniyar's Pediatrics - Cedartown hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2120072 expire?
The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.