CLIA lab

CLIA 11D2208380: Romulus Primary Care

Forest Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2208380 belongs to Romulus Primary Care in Forest Park, GA.

Certificate of Waiver, effective January 6, 2025, expires January 5, 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
January 6, 2025
Certificate expiration
January 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2021
Facility type
Community clinic
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
11D2208380
Lab name
Romulus Primary Care
Address
4940 Governors Drive Suite 209, Forest Park, GA 30297
Phone
(770) 277-1290

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Forest Park, GA

Related

Questions

What is the CLIA number for Romulus Primary Care in Forest Park?

11D2208380, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Romulus Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2208380 expire?

The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.

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