CLIA lab
CLIA 11D2228707: Avita Med Test, LLC
Macon, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2228707 belongs to Avita Med Test, LLC in Macon, GA.
Certificate of Waiver, effective June 30, 2025, expires June 29, 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 30, 2025
- Certificate expiration
- June 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 2021
- Facility type
- Independent
- 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
- 11D2228707
- Lab name
- Avita Med Test, LLC
- Address
- 3312 Northside Drive, Building D, Suite 215, Macon, GA 31210
- Phone
- (478) 245-0045
- Fax
- (770) 769-1444
Annual test volume the lab reported
- Waived tests
- 100,000
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 Avita Med Test, LLC in Macon?
11D2228707, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avita Med Test, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2228707 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.