CLIA lab

CLIA 11D2242953: Jencare Senior Medical Center-Forest Park

Forest Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2242953 belongs to Jencare Senior Medical Center-Forest Park in Forest Park, GA.

Certificate of Waiver, effective November 15, 2025, expires November 14, 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
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 15, 2021
Facility type
Physician office
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
11D2242953
Lab name
Jencare Senior Medical Center-Forest Park
Address
1057 Main Street, Forest Park, GA 30297
Phone
(404) 301-4555
Fax
(404) 301-4482

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Forest Park, GA

Related

Questions

What is the CLIA number for Jencare Senior Medical Center-Forest Park in Forest Park?

11D2242953, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jencare Senior Medical Center-Forest Park hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2242953 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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