CLIA lab

CLIA 11D2125677: Adventhealth Medical Group Family Medicine

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

CLIA number 11D2125677 belongs to Adventhealth Medical Group Family Medicine in Chatsworth, GA.

Certificate of Waiver, effective February 13, 2025, expires February 12, 2027.

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
February 13, 2025
Certificate expiration
February 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 13, 2017
Facility type
Physician office
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2125677
Lab name
Adventhealth Medical Group Family Medicine
Additional name
At Chatsworth
Address
104 Hosptal Drive, Chatsworth, GA 30705
Phone
(706) 695-1820
Fax
(644) 295-7888

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.

Other labs in Chatsworth, GA

Related

Questions

What is the CLIA number for Adventhealth Medical Group Family Medicine in Chatsworth?

11D2125677, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adventhealth Medical Group Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2125677 expire?

The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.

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