CLIA lab
CLIA 11D2171125: Fairburn Palmetto Dialysis
Palmetto, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2171125 belongs to Fairburn Palmetto Dialysis in Palmetto, GA.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2019
- Facility type
- End stage renal disease dialysis facility
- 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
- 11D2171125
- Lab name
- Fairburn Palmetto Dialysis
- Address
- 501 Walnut Way, Palmetto, GA 30268
- Phone
- (770) 463-2394
- Fax
- (770) 463-5717
Annual test volume the lab reported
- Waived tests
- 14,664
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Fairburn Palmetto DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Palmetto, GA
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- Chattahoochee Hills Fire Rescue DepartmentCertificate of Waiver, Other11D2261207
- Flourish PediatricsCertificate of Waiver, Physician office11D2206467
- Nra Palmetto Georgia LLCCertificate of Waiver, End stage renal disease dialysis facility11D1072364
- Urgent Care for Women LLCCertificate of Waiver, Physician office11D2310370
- Your Town HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic11D0257925
- Yourtown Health QuickcareCertificate of Waiver, Federally qualified health center11D2173267
Related
Questions
What is the CLIA number for Fairburn Palmetto Dialysis in Palmetto?
11D2171125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairburn Palmetto Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2171125 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.