CLIA lab

CLIA 11D2284469: Clinica Vital, LLC

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

CLIA number 11D2284469 belongs to Clinica Vital, LLC in Chamblee, GA.

Certificate of Waiver, effective June 23, 2025, expires June 22, 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
June 23, 2025
Certificate expiration
June 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 23, 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
11D2284469
Lab name
Clinica Vital, LLC
Address
3661 Clairmont Road, Chamblee, GA 30341
Phone
(770) 797-5167
Fax
(404) 897-6343

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Chamblee, GA

Related

Questions

What is the CLIA number for Clinica Vital, LLC in Chamblee?

11D2284469, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clinica Vital, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2284469 expire?

The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.

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