CLIA lab

CLIA 11D2157184: Divine Home Nursing

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

CLIA number 11D2157184 belongs to Divine Home Nursing in Cumming, GA.

Certificate of Waiver, effective November 1, 2024, expires October 31, 2026.

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
November 1, 2024
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 2018
Facility type
Other
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
11D2157184
Lab name
Divine Home Nursing
Address
2560 Manor Creek Ct, Cumming, GA 30041
Phone
(678) 696-7177
Fax
(678) 306-1446

Annual test volume the lab reported

Waived tests
20

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 Divine Home Nursing in Cumming?

11D2157184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Divine Home Nursing hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2157184 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.

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