CLIA lab

CLIA 11D2153067: FP- Peachtree Immediate Care CTV

Cartersville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2153067 belongs to FP- Peachtree Immediate Care CTV in Cartersville, GA.

Certificate of Waiver, effective August 22, 2026, expires August 21, 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
August 22, 2026
Certificate expiration
August 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 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
11D2153067
Lab name
FP- Peachtree Immediate Care CTV
Address
122 North Morningside Drive, Suite 100, Cartersville, GA 30121
Phone
(678) 723-6721
Fax
(678) 723-6722

Annual test volume the lab reported

Waived tests
1,500

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 FP- Peachtree Immediate Care CTV in Cartersville?

11D2153067, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FP- Peachtree Immediate Care CTV hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2153067 expire?

The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.

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