CLIA lab
CLIA 11D2211580: Grupo Medico De Georgia
Mableton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2211580 belongs to Grupo Medico De Georgia in Mableton, GA.
Certificate of Waiver, effective January 28, 2025, expires January 27, 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 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2021
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2211580
- Lab name
- Grupo Medico De Georgia
- Address
- 1060 Veterans Memorial Highway SW Suite 200, Mableton, GA 30126
- Phone
- (770) 559-3555
- Fax
- (678) 730-7777
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.
Affiliated CLIA numbers
Other labs in Mableton, GA
- Bernard Orewa MD PCCertificate of Waiver, Physician office11D1065134
- Core Diagnostics Lab LLCCertificate of Waiver, Mobile lab11D2340254
- FP- Peachtree Immediate Care- MabCertificate of Waiver, Physician office11D2119970
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2281754
- His Hands Family Practice Clinic LLCCertificate of Waiver, Physician office11D2235961
- Just One Drop LLCCertificate of Waiver, Ancillary test site11D2322659
- Kroger Pharmacy #464Certificate of Waiver, Pharmacy11D2098312
- Med Pro Point of Care Mobile ServicesCertificate of Waiver, Mobile lab11D2338942
- Moore Diagnostic Laboratory, IncCertificate of Waiver, Independent11D2195983
- New Progressions, LLCCertificate of Waiver, Other11D2155049
Related
Questions
What is the CLIA number for Grupo Medico De Georgia in Mableton?
11D2211580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grupo Medico De Georgia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2211580 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.