CLIA lab
CLIA 11D2138442: Angelic Clinical Services, LLC
Loganville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2138442 belongs to Angelic Clinical Services, LLC in Loganville, GA.
Certificate of Waiver, effective October 16, 2026, expires October 15, 2028.
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
- October 16, 2026
- Certificate expiration
- October 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2017
- Facility type
- Other practitioner
- 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
- 11D2138442
- Lab name
- Angelic Clinical Services, LLC
- Address
- 305 Cooper Road, Suite 100, Loganville, GA 30052
- Phone
- (770) 568-2777
- Fax
- (678) 819-0877
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Angelic Clinical Services, LLC in Loganville?
11D2138442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angelic Clinical Services, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2138442 expire?
The CMS file lists October 15, 2028 as the certificate expiration date; the certificate took effect October 16, 2026.