CLIA lab
CLIA 11D2226422: Pediatric Convenient Care
Kathleen, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2226422 belongs to Pediatric Convenient Care in Kathleen, GA.
Certificate of Waiver, effective June 1, 2025, expires May 31, 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
- June 1, 2025
- Certificate expiration
- May 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 2021
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2226422
- Lab name
- Pediatric Convenient Care
- Address
- 1114 Ga Hwy 96, Suite D3 - D5, Kathleen, GA 31047
- Phone
- (478) 910-1090
- Fax
- (478) 910-1091
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kathleen, GA
- Atrium Hlth Navicent Primary Care Family MedicineCertificate of Waiver, Physician office11D2326002
- Connect EMS Transport Services, LLCCertificate of Waiver, Health fair11D2331015
- Lake Joy Med-StopCertificate of Compliance, Other11D1057794
- Onsite Medical Clinic at Frito Lay - PerryCertificate of Waiver, Physician office11D2174475
- Perry VA ClinicCertificate of Accreditation, Ambulatory surgery center11D1091011
- Weighless MD and WellnessCertificate of Waiver, Independent11D2345686
Related
Questions
What is the CLIA number for Pediatric Convenient Care in Kathleen?
11D2226422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Convenient Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2226422 expire?
The CMS file lists May 31, 2027 as the certificate expiration date; the certificate took effect June 1, 2025.