CLIA lab
CLIA 11D2171333: One Medical - Shiloh Square
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2171333 belongs to One Medical - Shiloh Square in Kennesaw, GA.
Certificate of Waiver, effective August 29, 2025, expires August 28, 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 29, 2025
- Certificate expiration
- August 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 29, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2171333
- Lab name
- One Medical - Shiloh Square
- Address
- 3895 Cherokee Street, NW, #400, Kennesaw, GA 30144
- Phone
- (678) 369-7755
- Fax
- (844) 947-4544
Annual test volume the lab reported
- Waived tests
- 3,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kennesaw, GA
- Afc Urgent Care KennesawCertificate of Waiver, Physician office11D2294517
- Airlife FiveCertificate of Waiver, Ambulance11D2020231
- Amedisys Hospice Care of KennesawCertificate of Waiver, Hospice11D1078956
- Any Lab TestCertificate of Waiver, Independent11D1079732
- Biolife Plasma Services, LPCertificate of Compliance, Other11D2219907
- CPG Endocrinology - Town CenterCertificate of Waiver, Physician office11D2141590
- Caresouth HHA Holdings of Gainesville, LLCCertificate of Waiver, Home health agency11D1054345
- Caresouth HHA Holdings of Gainesville,llcCertificate of Waiver, Hospice11D2020212
- Center for Allergy & Asthma of GaCertificate of Waiver, Physician office11D2086701
- Center for Authentic Life & Relationship,llcCertificate of Waiver, Other practitioner11D2316892
Related
Questions
What is the CLIA number for One Medical - Shiloh Square in Kennesaw?
11D2171333, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does One Medical - Shiloh Square hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2171333 expire?
The CMS file lists August 28, 2027 as the certificate expiration date; the certificate took effect August 29, 2025.