CLIA lab
CLIA 11D2217628: Favor Family Medical Practice LLC
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2217628 belongs to Favor Family Medical Practice LLC in Canton, GA.
Certificate of Waiver, effective March 23, 2025, expires March 22, 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
- March 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2021
- Facility type
- Other practitioner
- 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
- 11D2217628
- Lab name
- Favor Family Medical Practice LLC
- Address
- 103 Mountain Brook Drive Unit 100, Canton, GA 30115
- Phone
- (678) 880-8893
- Fax
- (678) 880-8589
Annual test volume the lab reported
- Waived tests
- 7,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Favor Family Medical Practice LLC in Canton?
11D2217628, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Favor Family Medical Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2217628 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.