CLIA lab

CLIA 11D2121193: FP- Peachtree Immediate Care-Oak

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

CLIA number 11D2121193 belongs to FP- Peachtree Immediate Care-Oak in Oakwood, GA.

Certificate of Waiver, effective November 1, 2024, expires October 31, 2026.

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
November 1, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 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
11D2121193
Lab name
FP- Peachtree Immediate Care-Oak
Address
3885 Mundy Mill Road, #114, Oakwood, GA 30566
Phone
(678) 971-1892
Fax
(678) 971-1895

Annual test volume the lab reported

Waived tests
2,200

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

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Related

Questions

What is the CLIA number for FP- Peachtree Immediate Care-Oak in Oakwood?

11D2121193, per the CMS Provider of Services file posted October 16, 2026.

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

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2121193 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.

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