CLIA lab

CLIA 11D2159230: Peachtree Immediate Care

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

CLIA number 11D2159230 belongs to Peachtree Immediate Care in Lithonia, GA.

Certificate of Waiver, effective December 14, 2024, expires December 13, 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
December 14, 2024
Certificate expiration
December 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 14, 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
11D2159230
Lab name
Peachtree Immediate Care
Address
6000 Hillandale Drive, Suite 115, Lithonia, GA 30058
Phone
(470) 268-2875
Fax
(470) 268-2876

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 Peachtree Immediate Care in Lithonia?

11D2159230, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peachtree Immediate Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2159230 expire?

The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.

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