CLIA lab
CLIA 11D2276167: Hometown Pediatrics LLC
Vienna, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2276167 belongs to Hometown Pediatrics LLC in Vienna, GA.
Certificate of Waiver, effective February 3, 2025, expires February 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 3, 2025
- Certificate expiration
- February 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 2023
- 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
- 11D2276167
- Lab name
- Hometown Pediatrics LLC
- Address
- 108 N 4th Street, Vienna, GA 31092
- Phone
- (229) 231-5008
- Fax
- (229) 338-7298
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Vienna, GA
Related
Questions
What is the CLIA number for Hometown Pediatrics LLC in Vienna?
11D2276167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hometown Pediatrics LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2276167 expire?
The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.