CLIA lab

CLIA 11D2129949: Southeast Atlanta Vascular Care, LLC

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

CLIA number 11D2129949 belongs to Southeast Atlanta Vascular Care, LLC in Lithonia, GA.

Certificate of Waiver, effective April 28, 2025, expires April 27, 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
April 28, 2025
Certificate expiration
April 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 28, 2017
Facility type
Physician office
Ownership (control type)
Government, other
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
11D2129949
Lab name
Southeast Atlanta Vascular Care, LLC
Address
5461 Hillandale Drive, Suite 210, Lithonia, GA 30058
Phone
(770) 981-8477
Fax
(770) 981-8908

Annual test volume the lab reported

Waived tests
100

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

Other labs in Lithonia, GA

Related

Questions

What is the CLIA number for Southeast Atlanta Vascular Care, LLC in Lithonia?

11D2129949, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southeast Atlanta Vascular Care, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2129949 expire?

The CMS file lists April 27, 2027 as the certificate expiration date; the certificate took effect April 28, 2025.

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