CLIA lab
CLIA 11D2165504: Penfield Addiction Ministries
Union Point, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2165504 belongs to Penfield Addiction Ministries in Union Point, GA.
Certificate of Waiver, effective April 30, 2025, expires April 29, 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
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2019
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 11D2165504
- Lab name
- Penfield Addiction Ministries
- Address
- 1061 Mercer Circle, Union Point, GA 30669
- Phone
- (706) 453-7929
- Fax
- (888) 785-0615
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Penfield Addiction Ministries in Union Point?
11D2165504, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penfield Addiction Ministries hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2165504 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.