CLIA lab
CLIA 11D2273257: Black Swan LLC DBA Liv
Alpharetta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2273257 belongs to Black Swan LLC DBA Liv in Alpharetta, GA.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2022
- Facility type
- Comprehensive outpatient rehab facility
- 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
- 11D2273257
- Lab name
- Black Swan LLC DBA Liv
- Address
- 4625 Alexander Drive, Suite 200, Alpharetta, GA 30022
- Phone
- (404) 513-5640
Annual test volume the lab reported
- Waived tests
- 500
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 Black Swan LLC DBA Liv in Alpharetta?
11D2273257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Swan LLC DBA Liv hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2273257 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.