CLIA lab
CLIA 11D2135672: Prodiagnostics Medical Center
Acworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2135672 belongs to Prodiagnostics Medical Center in Acworth, GA.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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
- August 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 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
- 11D2135672
- Lab name
- Prodiagnostics Medical Center
- Address
- 6460 Highway 92, Suite 200, Acworth, GA 30102
- Phone
- (678) 915-1891
- Fax
- (678) 915-1893
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Acworth Primary HealthcareCertificate of Waiver, Physician office11D0993631
- Addiction Treatment Center of AtlantaCertificate of Registration, Physician office11D2307608
- American Clinical TrialsCertificate of Waiver, Physician office11D2204597
- Assured Hospice Care, LLCCertificate of Waiver, Hospice11D1091870
- Bio-Medical Applications of Georgia IncCertificate of Waiver, End stage renal disease dialysis facility11D2037114
- Celebration Village AcworthCertificate of Waiver, Assisted living facility11D2125687
- Center for Spine Interventions ASC 3, LLCCertificate of Waiver, Physician office11D2125680
Related
Questions
What is the CLIA number for Prodiagnostics Medical Center in Acworth?
11D2135672, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prodiagnostics Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2135672 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.