CLIA lab
CLIA 11D2203402: Canopy at Azalea Grove, the
Valdosta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2203402 belongs to Canopy at Azalea Grove, the in Valdosta, GA.
Certificate of Waiver, effective December 3, 2024, expires December 2, 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
- December 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2020
- Facility type
- Assisted living 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
- 11D2203402
- Lab name
- Canopy at Azalea Grove, the
- Address
- 6002 North Oak Street Ext, Valdosta, GA 31602
- Phone
- (229) 262-7370
- Fax
- (229) 262-7332
Annual test volume the lab reported
- Waived tests
- 200
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 Canopy at Azalea Grove, the in Valdosta?
11D2203402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Canopy at Azalea Grove, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2203402 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.