CLIA lab
CLIA 11D2248101: Pho Healthcare, LLC
Ellenwood, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2248101 belongs to Pho Healthcare, LLC in Ellenwood, GA.
Certificate of Waiver, effective January 12, 2026, expires January 11, 2028.
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
- January 12, 2026
- Certificate expiration
- January 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 2022
- 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
- 11D2248101
- Lab name
- Pho Healthcare, LLC
- Address
- 475 Trinity Trail, Ellenwood, GA 30294
- Phone
- (404) 918-0770
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.
Other labs in Ellenwood, GA
- Aylo Health-EllenwoodCertificate of Accreditation, Physician office11D0984979
- Ellenwood Dialysis Center, LLCCertificate of Waiver, End stage renal disease dialysis facility11D2033813
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #05633Certificate of Waiver, Pharmacy11D2282590
- Kroger Pharmacy #427Certificate of Waiver, Pharmacy11D0983258
- Nursethicks Dot SolutionsCertificate of Waiver, Other practitioner11D2246818
- Onsite Lab ServiceCertificate of Waiver, Mobile lab11D2326145
- Piedmont Physicians Group of EllenwoodCertificate of Waiver, Physician office11D2183289
- Piedmont Urgent Care By WellstreetCertificate of Waiver, Other11D2244464
- Quikmed-EllenwoodCertificate of Waiver, Physician office11D2324263
- True Dna Diagnostic, LLCCertificate of Waiver, Mobile lab11D2346947
Related
Questions
What is the CLIA number for Pho Healthcare, LLC in Ellenwood?
11D2248101, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pho Healthcare, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2248101 expire?
The CMS file lists January 11, 2028 as the certificate expiration date; the certificate took effect January 12, 2026.