CLIA lab

CLIA 11D2162094: Georgia Vision Institute

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

CLIA number 11D2162094 belongs to Georgia Vision Institute in Villa Rica, GA.

Certificate of Waiver, effective February 15, 2025, expires February 14, 2027.

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
February 15, 2025
Certificate expiration
February 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 15, 2019
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
11D2162094
Lab name
Georgia Vision Institute
Address
705 Dallas Highway, Suite 103, Villa Rica, GA 30180
Phone
(770) 459-2022
Fax
(770) 459-2034

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Villa Rica, GA

Related

Questions

What is the CLIA number for Georgia Vision Institute in Villa Rica?

11D2162094, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Georgia Vision Institute hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2162094 expire?

The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.

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