CLIA lab
CLIA 11D2149811: Lookout Mountain Community Services Agency
Lafayette, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2149811 belongs to Lookout Mountain Community Services Agency in Lafayette, 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
- Community clinic
- Ownership (control type)
- Government, other
- 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
- 11D2149811
- Lab name
- Lookout Mountain Community Services Agency
- Additional name
- Lafayette Outpatient Clinic
- Address
- 501 Mize Street, Lafayette, GA 30728
- Phone
- (706) 638-5580
- Fax
- (706) 638-5445
Annual test volume the lab reported
- Waived tests
- 150
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 Lookout Mountain Community Services Agency in Lafayette?
11D2149811, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lookout Mountain Community Services Agency hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2149811 expire?
The CMS file lists June 11, 2028 as the certificate expiration date; the certificate took effect June 12, 2026.