CLIA lab
CLIA 11D2196570: Fayette County Fire/ EMS
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2196570 belongs to Fayette County Fire/ EMS in Fayetteville, GA.
Certificate of Waiver, effective October 19, 2026, expires October 18, 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 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2020
- Facility type
- Ambulance
- Ownership (control type)
- Government, county
- 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
- 11D2196570
- Lab name
- Fayette County Fire/ EMS
- Address
- 140 Stonewall Avenue West Suite 214, Fayetteville, GA 30214
- Phone
- (770) 305-5191
- Fax
- (770) 305-5190
Annual test volume the lab reported
- Waived tests
- 7,000
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 Fayette County Fire/ EMS in Fayetteville?
11D2196570, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayette County Fire/ EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2196570 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.