CLIA lab
CLIA 11D2121250: FP- Peachtree Immediate Care Cob
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2121250 belongs to FP- Peachtree Immediate Care Cob in Kennesaw, GA.
Certificate of Waiver, effective November 2, 2024, expires November 1, 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 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 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
- 11D2121250
- Lab name
- FP- Peachtree Immediate Care Cob
- Address
- 2481 George Basbee Parkway, NW, Kennesaw, GA 30144
- Phone
- (770) 423-0000
- Fax
- (770) 423-0131
Annual test volume the lab reported
- Waived tests
- 1,499
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Airlife FiveCertificate of Waiver, Ambulance11D2020231
- Amedisys Hospice Care of KennesawCertificate of Waiver, Hospice11D1078956
- Any Lab TestCertificate of Waiver, Independent11D1079732
- Biolife Plasma Services, LPCertificate of Compliance, Other11D2219907
- CPG Endocrinology - Town CenterCertificate of Waiver, Physician office11D2141590
- Caresouth HHA Holdings of Gainesville, LLCCertificate of Waiver, Home health agency11D1054345
- Caresouth HHA Holdings of Gainesville,llcCertificate of Waiver, Hospice11D2020212
- Center for Allergy & Asthma of GaCertificate of Waiver, Physician office11D2086701
- Center for Authentic Life & Relationship,llcCertificate of Waiver, Other practitioner11D2316892
Related
Questions
What is the CLIA number for FP- Peachtree Immediate Care Cob in Kennesaw?
11D2121250, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does FP- Peachtree Immediate Care Cob hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2121250 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.