CLIA lab

CLIA 11D2135589: Georgia Retina, PC

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

CLIA number 11D2135589 belongs to Georgia Retina, PC in Tucker, GA.

Certificate of Waiver, effective August 24, 2025, expires August 23, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 24, 2025
Certificate expiration
August 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 24, 2017
Facility type
Physician office
Ownership (control type)
Proprietary
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
11D2135589
Lab name
Georgia Retina, PC
Address
1462 Montreal Road, Suite 412, Tucker, GA 30084
Phone
(404) 299-5209
Fax
(404) 296-7415

Annual test volume the lab reported

Waived tests
4

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

Other labs in Tucker, GA

Related

Questions

What is the CLIA number for Georgia Retina, PC in Tucker?

11D2135589, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Retina, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2135589 expire?

The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.