CLIA lab
CLIA 11D2264708: Premise Health of Georgia Medical, PC
Tyrone, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2264708 belongs to Premise Health of Georgia Medical, PC in Tyrone, GA.
Certificate of Waiver, effective July 19, 2026, expires July 18, 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
- July 19, 2026
- Certificate expiration
- July 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 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
- 11D2264708
- Lab name
- Premise Health of Georgia Medical, PC
- Address
- 105 St Stephens Court, Ste A, Tyrone, GA 30290
- Phone
- (470) 491-3370
- Fax
- (770) 415-1519
Annual test volume the lab reported
- Waived tests
- 900
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 Premise Health of Georgia Medical, PC in Tyrone?
11D2264708, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Georgia Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2264708 expire?
The CMS file lists July 18, 2028 as the certificate expiration date; the certificate took effect July 19, 2026.