CLIA lab

CLIA 11D2274766: Grace Care Ambulance Transport LLC

Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2274766 belongs to Grace Care Ambulance Transport LLC in Lithonia, GA.

Certificate of Waiver, effective January 10, 2025, expires January 9, 2027.

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 10, 2025
Certificate expiration
January 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 10, 2023
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
11D2274766
Lab name
Grace Care Ambulance Transport LLC
Address
2372 S Stone Mountain Lithonia Road, Lithonia, GA 30058
Phone
(404) 585-4857
Fax
(404) 512-4686

Annual test volume the lab reported

Waived tests
50

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 Grace Care Ambulance Transport LLC in Lithonia?

11D2274766, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace Care Ambulance Transport LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2274766 expire?

The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.

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