CLIA lab
CLIA 11D2141026: First Georgia Pediatric Physicians Group
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2141026 belongs to First Georgia Pediatric Physicians Group in Fayetteville, GA.
Certificate of Waiver, effective December 6, 2025, expires December 5, 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
- December 6, 2025
- Certificate expiration
- December 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 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
- 11D2141026
- Lab name
- First Georgia Pediatric Physicians Group
- Additional name
- Yorktown
- Address
- 101 Yorktown Drive, Suite 102, Fayetteville, GA 30214
- Phone
- (678) 593-9016
- Fax
- (678) 545-0942
Annual test volume the lab reported
- Waived tests
- 2,500
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 First Georgia Pediatric Physicians Group in Fayetteville?
11D2141026, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does First Georgia Pediatric Physicians Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2141026 expire?
The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.