CLIA lab
CLIA 11D2142054: Peachstate Family Clinic, LLC
Lilburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2142054 belongs to Peachstate Family Clinic, LLC in Lilburn, GA.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2018
- 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
- 11D2142054
- Lab name
- Peachstate Family Clinic, LLC
- Address
- 4319 Lawrenceville Highway, Lilburn, GA 30047
- Phone
- (678) 583-8888
- Fax
- (678) 894-4267
Annual test volume the lab reported
- Waived tests
- 200
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 Peachstate Family Clinic, LLC in Lilburn?
11D2142054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peachstate Family Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2142054 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.