CLIA lab

CLIA 11D2183289: Piedmont Physicians Group of Ellenwood

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

CLIA number 11D2183289 belongs to Piedmont Physicians Group of Ellenwood in Ellenwood, GA.

Certificate of Waiver, effective May 4, 2026, expires May 3, 2028.

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
May 4, 2026
Certificate expiration
May 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 4, 2020
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
11D2183289
Lab name
Piedmont Physicians Group of Ellenwood
Address
4477 West Village Parkway, Ellenwood, GA 30294
Phone
(404) 366-9311
Fax
(404) 366-1250

Annual test volume the lab reported

Waived tests
1,800

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

Other labs in Ellenwood, GA

Related

Questions

What is the CLIA number for Piedmont Physicians Group of Ellenwood in Ellenwood?

11D2183289, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Piedmont Physicians Group of Ellenwood hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2183289 expire?

The CMS file lists May 3, 2028 as the certificate expiration date; the certificate took effect May 4, 2026.

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