CLIA lab
CLIA 11D2156443: Ravens Nest Foundation, Inc
Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2156443 belongs to Ravens Nest Foundation, Inc in Austell, GA.
Certificate of Waiver, effective October 18, 2024, expiration date October 17, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 18, 2024
- Certificate expiration
- October 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 2018
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D2156443
- Lab name
- Ravens Nest Foundation, Inc
- Address
- 3875 Austell Road, Suite 303, Austell, GA 30106
- Phone
- (770) 819-6825
- Fax
- (770) 819-6826
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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- Any Lab TestCertificate of Waiver, Independent11D1079731
- Anytime MD Urgent CareCertificate of Waiver, Physician office11D2132926
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1053467
- Atlanta West Dermatology PCCertificate of Compliance, Physician office11D0724381
- Atria MabletonCertificate of Waiver, Assisted living facility11D0993806
- Austell CbocCertificate of Accreditation, Community clinic11D1008807
Related
Questions
What is the CLIA number for Ravens Nest Foundation, Inc in Austell?
11D2156443, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ravens Nest Foundation, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2156443 expire?
The CMS file lists October 17, 2026 as the certificate expiration date; the certificate took effect October 18, 2024.