CLIA lab
CLIA 11D2200143: City of Fayetteville Fire Department
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2200143 belongs to City of Fayetteville Fire Department in Fayetteville, GA.
Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.
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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2020
- Facility type
- Other
- Ownership (control type)
- Government, city
- 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
- 11D2200143
- Lab name
- City of Fayetteville Fire Department
- Address
- 95 Johnson Avenue, Fayetteville, GA 30214
- Phone
- (770) 461-4548
- Fax
- (770) 460-4245
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 City of Fayetteville Fire Department in Fayetteville?
11D2200143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does City of Fayetteville Fire Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2200143 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.