CLIA lab
CLIA 11D2145565: Evergreen Primary Care and Wellness, PC
Cumming, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2145565 belongs to Evergreen Primary Care and Wellness, PC in Cumming, GA.
Certificate of Waiver, effective March 12, 2026, expires March 11, 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
- March 12, 2026
- Certificate expiration
- March 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 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
- 11D2145565
- Lab name
- Evergreen Primary Care and Wellness, PC
- Address
- 2450 Atlanta Hwy, Suite 803, Cumming, GA 30040
- Phone
- (470) 253-7944
- Fax
- (678) 807-6144
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.
Other labs in Cumming, GA
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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186862
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2327216
- Aegis EndoscopyCertificate of Waiver, Ambulatory surgery center11D2337608
- Aga, LLC DBA Atlanta GastroenterologyCertificate of Waiver, Physician office11D1031503
- Alliance Surgery Center at Cumming, LLCCertificate of Waiver, Ambulatory surgery center11D2276513
- American Health Imaging of CummingCertificate of Waiver, Independent11D2125906
- American Oncolocy Partners, PA DBA Cancer & BloodCertificate of Accreditation, Physician office11D2296768
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2312064
Related
Questions
What is the CLIA number for Evergreen Primary Care and Wellness, PC in Cumming?
11D2145565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Primary Care and Wellness, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2145565 expire?
The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.