CLIA lab
CLIA 11D2121197: Peachtree Immediate Care - Oak
Oakwood, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2121197 belongs to 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2121197
- Lab name
- 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
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Oakwood, GA
- FP- Peachtree Immediate Care-OakCertificate of Waiver, Physician office11D2121193
- Kroger Pharmacy #784Certificate of Waiver, Pharmacy11D2345063
- Lcnghs Oakwood Family MedicineCertificate of Compliance, Physician office11D0894890
- Lcnghs Oakwood PediatricsCertificate of Compliance, Physician office11D1032047
- Medcity Llc/Medcity Urgent & Primary CareCertificate of Waiver, Physician office11D2315071
- Northeast Georgia Physicians Group OakwoodCertificate of Waiver, Physician office11D0021399
- Oakwood Al/Mc DBA Cedarhurst of OakwoodCertificate of Waiver, Assisted living facility11D2301503
- Syah LLCCertificate of Waiver, Physician office11D1082322
- University of North Georgia Student Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service11D2175939
- Walmart Pharmacy 10-3627Certificate of Waiver, Pharmacy11D2175786
Related
Questions
What is the CLIA number for Peachtree Immediate Care - Oak in Oakwood?
11D2121197, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peachtree Immediate Care - Oak hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2121197 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.