CLIA lab
CLIA 11D2149809: Cowan Lake Dialysis
Conyers, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2149809 belongs to Cowan Lake Dialysis in Conyers, GA.
Certificate of Waiver, effective June 12, 2026, expires June 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
- June 12, 2026
- Certificate expiration
- June 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2018
- Facility type
- End stage renal disease dialysis facility
- 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
- 11D2149809
- Lab name
- Cowan Lake Dialysis
- Address
- 1950 Honey Creek Commons, SE, Conyers, GA 30094
- Phone
- (770) 918-2563
- Fax
- (770) 918-2059
Annual test volume the lab reported
- Waived tests
- 5,304
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aga, LLCCertificate of Waiver, Physician office11D2029443
- Aga, LLC DBA East Atlanta Gastroenterology AssocCertificate of Waiver, Physician office11D0257046
- Aica Orthopedics, PCCertificate of Waiver, Physician office11D2191753
- Alliance Recovery Center ConyersCertificate of Waiver, Other11D1047300
- Alpha Health and WellnessCertificate of Waiver, Physician office11D2334709
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Related
Questions
What is the CLIA number for Cowan Lake Dialysis in Conyers?
11D2149809, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cowan Lake Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2149809 expire?
The CMS file lists June 11, 2028 as the certificate expiration date; the certificate took effect June 12, 2026.