CLIA lab

CLIA 11D2173457: Pandya Medical Center

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

CLIA number 11D2173457 belongs to Pandya Medical Center in Dawsonville, GA.

Certificate of Waiver, effective October 15, 2025, expires October 14, 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 15, 2025
Certificate expiration
October 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 15, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2173457
Lab name
Pandya Medical Center
Address
1078 Lumpkin Campground Road, Suite 100, Dawsonville, GA 30534
Phone
(770) 709-6922
Fax
(770) 709-6910

Annual test volume the lab reported

Waived tests
200

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

Affiliated CLIA numbers

Other labs in Dawsonville, GA

Related

Questions

What is the CLIA number for Pandya Medical Center in Dawsonville?

11D2173457, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pandya Medical Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2173457 expire?

The CMS file lists October 14, 2027 as the certificate expiration date; the certificate took effect October 15, 2025.

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