CLIA lab
CLIA 11D2134980: Douglasville Clinic
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2134980 belongs to Douglasville Clinic in Douglasville, GA.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2017
- Facility type
- Federally qualified health center
- 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
- 11D2134980
- Lab name
- Douglasville Clinic
- Address
- 3666 Highway 5, Douglasville, GA 30135
- Phone
- (404) 564-7749
- Fax
- (404) 649-6798
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Douglasville, GA
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- Aga, LLCCertificate of Waiver, Physician office11D1043408
- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0672010
- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
- American National Red Cross, theCertificate of Waiver, Blood bank11D0883367
- Arbor Place DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1091874
- Arbor Place Family Medicine PCCertificate of Waiver, Physician office11D1036452
- Ariel Community Care, LLCCertificate of Waiver, Other practitioner11D2169939
Related
Questions
What is the CLIA number for Douglasville Clinic in Douglasville?
11D2134980, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Douglasville Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2134980 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.