CLIA lab

CLIA 11D2189686: UC- Peachtree Immediate Care -LGV

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

CLIA number 11D2189686 belongs to UC- Peachtree Immediate Care -LGV in Locust Grove, GA.

Certificate of Waiver, effective August 4, 2026, expires August 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
August 4, 2026
Certificate expiration
August 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 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
11D2189686
Lab name
UC- Peachtree Immediate Care -LGV
Address
4837 Bill Gardner Parkway Suite B, Locust Grove, GA 30248
Phone
(678) 800-1602
Fax
(770) 627-0108

Annual test volume the lab reported

Waived tests
1,500

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

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Related

Questions

What is the CLIA number for UC- Peachtree Immediate Care -LGV in Locust Grove?

11D2189686, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does UC- Peachtree Immediate Care -LGV hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2189686 expire?

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

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