CLIA lab

CLIA 11D2195822: Usrc Powder Springs Home, LLC

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

CLIA number 11D2195822 belongs to Usrc Powder Springs Home, LLC in Powder Springs, GA.

Certificate of Waiver, effective October 13, 2026, expires October 12, 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
October 13, 2026
Certificate expiration
October 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 13, 2020
Facility type
End stage renal disease dialysis 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
11D2195822
Lab name
Usrc Powder Springs Home, LLC
Additional name
DBA US Renal Care NW Ga Home Dialysis
Address
3721 New Macland Road, Suite 100-B, Powder Springs, GA 30127
Phone
(470) 781-6220
Fax
(470) 781-6710

Annual test volume the lab reported

Waived tests
4,000

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

Care facility at this address

Other labs in Powder Springs, GA

Related

Questions

What is the CLIA number for Usrc Powder Springs Home, LLC in Powder Springs?

11D2195822, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Usrc Powder Springs Home, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2195822 expire?

The CMS file lists October 12, 2028 as the certificate expiration date; the certificate took effect October 13, 2026.

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