CLIA lab
CLIA 11D2195983: Moore Diagnostic Laboratory, Inc
Mableton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2195983 belongs to Moore Diagnostic Laboratory, Inc in Mableton, GA.
Certificate of Waiver, effective March 15, 2025, expires March 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
- March 15, 2025
- Certificate expiration
- March 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 2020
- Facility type
- Independent
- 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
- 11D2195983
- Lab name
- Moore Diagnostic Laboratory, Inc
- Address
- 5590 Mableton Parkway, Suite 174, Mableton, GA 30126
- Phone
- (678) 540-6620
- Fax
- (470) 787-2119
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mableton, GA
- Bernard Orewa MD PCCertificate of Waiver, Physician office11D1065134
- Core Diagnostics Lab LLCCertificate of Waiver, Mobile lab11D2340254
- FP- Peachtree Immediate Care- MabCertificate of Waiver, Physician office11D2119970
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2281754
- Grupo Medico De GeorgiaCertificate of Waiver, Physician office11D2211580
- His Hands Family Practice Clinic LLCCertificate of Waiver, Physician office11D2235961
- Just One Drop LLCCertificate of Waiver, Ancillary test site11D2322659
- Kroger Pharmacy #464Certificate of Waiver, Pharmacy11D2098312
- Med Pro Point of Care Mobile ServicesCertificate of Waiver, Mobile lab11D2338942
- New Progressions, LLCCertificate of Waiver, Other11D2155049
Related
Questions
What is the CLIA number for Moore Diagnostic Laboratory, Inc in Mableton?
11D2195983, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moore Diagnostic Laboratory, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2195983 expire?
The CMS file lists March 14, 2027 as the certificate expiration date; the certificate took effect March 15, 2025.