CLIA lab

CLIA 11D2172805: Hiram Senior Center, LLC

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

CLIA number 11D2172805 belongs to Hiram Senior Center, LLC in Hiram, GA.

Certificate of Waiver, effective October 1, 2025, expires September 30, 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
October 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 1, 2019
Facility type
Assisted living 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
11D2172805
Lab name
Hiram Senior Center, LLC
Address
68 Breezy Valley Connector, Hiram, GA 30141
Phone
(678) 973-1906
Fax
(678) 439-2401

Annual test volume the lab reported

Waived tests
300

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

Other labs in Hiram, GA

Related

Questions

What is the CLIA number for Hiram Senior Center, LLC in Hiram?

11D2172805, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hiram Senior Center, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2172805 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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