CLIA lab
CLIA 11D2201670: Proactive Md-Tindall Conley Health Center
Conley, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2201670 belongs to Proactive Md-Tindall Conley Health Center in Conley, GA.
Certificate of Waiver, effective November 23, 2024, expires November 22, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 23, 2024
- Certificate expiration
- November 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2020
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2201670
- Lab name
- Proactive Md-Tindall Conley Health Center
- Address
- 3361 Grant Road, Conley, GA 30288
- Phone
- (678) 244-7933
- Fax
- (404) 800-0016
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Conley, GA
Related
Questions
What is the CLIA number for Proactive Md-Tindall Conley Health Center in Conley?
11D2201670, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive Md-Tindall Conley Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2201670 expire?
The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.