CLIA lab

CLIA 11D2169495: Peachtree Immediate Care

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

CLIA number 11D2169495 belongs to Peachtree Immediate Care in Morrow, GA.

Certificate of Waiver, effective July 23, 2025, expires July 22, 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
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 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
11D2169495
Lab name
Peachtree Immediate Care
Address
2005 Mt Zion Road, Morrow, GA 30260
Phone
(678) 504-6397
Fax
(678) 424-1490

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.

Other labs in Morrow, GA

Related

Questions

What is the CLIA number for Peachtree Immediate Care in Morrow?

11D2169495, 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 11D2169495 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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