CLIA lab
CLIA 11D2258963: Peach State EMS, LLC
Hoschton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2258963 belongs to Peach State EMS, LLC in Hoschton, GA.
Certificate of Waiver, effective April 29, 2026, expires April 28, 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
- April 29, 2026
- Certificate expiration
- April 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2022
- Facility type
- Ambulance
- 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
- 11D2258963
- Lab name
- Peach State EMS, LLC
- Address
- 122 Amy Industrial Lane, Hoschton, GA 30548
- Phone
- (888) 838-1391
- Fax
- (888) 391-8501
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Health Link Laboratory at RiverplaceCertificate of Accreditation, Ancillary test site11D1086436
- Kroger Pharmacy #011-686Certificate of Waiver, Pharmacy11D2327342
- MPT Pharmacy LLC DBA Jackson PharmacyCertificate of Waiver, Pharmacy11D2241746
- Manor Lake HoschtonCertificate of Waiver, Assisted living facility11D2286842
- Minuteclinic, LLC, Minuteclinic #7637Certificate of Waiver, Other11D2054528
- NE Ga Physicians Group Est JacksonCertificate of Waiver, Physician office11D1077228
- Oaks at Braselton Assisted LivingCertificate of Waiver, Assisted living facility11D2207615
- Peak Strength and Wellness ClinicCertificate of Waiver, Physician office11D2349389
Related
Questions
What is the CLIA number for Peach State EMS, LLC in Hoschton?
11D2258963, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peach State EMS, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2258963 expire?
The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.