CLIA lab
CLIA 11D2260417: Georgia Urology Canton Office at Liberty Blvd
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2260417 belongs to Georgia Urology Canton Office at Liberty Blvd in Canton, GA.
Certificate for Provider-Performed Microscopy Procedures, effective May 18, 2026, expires May 17, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 18, 2026
- Certificate expiration
- May 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 2022
- 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
- 11D2260417
- Lab name
- Georgia Urology Canton Office at Liberty Blvd
- Address
- 100 Liberty Blvd, Suite 240, Canton, GA 30114
- Phone
- (678) 284-4686
- Fax
- (678) 284-4078
Annual test volume the lab reported
- Provider-performed microscopy tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
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- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
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Related
Questions
What is the CLIA number for Georgia Urology Canton Office at Liberty Blvd in Canton?
11D2260417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Urology Canton Office at Liberty Blvd hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2260417 expire?
The CMS file lists May 17, 2028 as the certificate expiration date; the certificate took effect May 18, 2026.