CLIA lab
CLIA 11D2240968: Blessed Hands Mobile Lab
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2240968 belongs to Blessed Hands Mobile Lab in Fayetteville, GA.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2021
- Facility type
- Mobile lab
- 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
- 11D2240968
- Lab name
- Blessed Hands Mobile Lab
- Address
- 320 W Lanier Avenue Suite 200, Fayetteville, GA 30214
- Phone
- (678) 696-7896
- Fax
- (678) 302-7639
Annual test volume the lab reported
- Waived tests
- 350
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 Blessed Hands Mobile Lab in Fayetteville?
11D2240968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blessed Hands Mobile Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2240968 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.