CLIA lab
CLIA 11D2136120: Dialysis Center of Forsyth LLC
Forsyth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2136120 belongs to Dialysis Center of Forsyth LLC in Forsyth, GA.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2017
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2136120
- Lab name
- Dialysis Center of Forsyth LLC
- Address
- 120 North Lee Street, Suite F, Forsyth, GA 31029
- Phone
- (478) 992-9033
- Fax
- (478) 922-9034
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Dialysis Center of Forsyth, LLCCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Forsyth, GA
- Atrium Health Navicent Primary Care MonroeCertificate of Waiver, Physician office11D0263542
- Burruss Correctional Training CenterCertificate of Waiver, Prison11D2244534
- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2178630
- Dsi Macon, LLCCertificate of Waiver, End stage renal disease dialysis facility11D0957936
- Field Foot and AnkleCertificate of Waiver, Physician office11D2061022
- Georgia Dermatology & Skin Cancer Center, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0928734
- Ingles Maarkets, Inc (Ingles Pharmacy #403)Certificate of Waiver, Pharmacy11D2336500
- Internal Medicine Associates of Middle GeorgiaCertificate of Waiver, Physician office11D0263537
- Monroe County Emergency ServicesCertificate of Waiver, Ambulance11D2259889
- Monroe County HospitalCertificate of Accreditation, Hospital11D0263549
Related
Questions
What is the CLIA number for Dialysis Center of Forsyth LLC in Forsyth?
11D2136120, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dialysis Center of Forsyth LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2136120 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.