CLIA lab
CLIA 11D2291559: Manor Lake Assisted Living and Memory Care
Ellijay, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2291559 belongs to Manor Lake Assisted Living and Memory Care in Ellijay, GA.
Certificate of Waiver, effective October 12, 2025, expires October 11, 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
- October 12, 2025
- Certificate expiration
- October 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2023
- Facility type
- Assisted living 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
- 11D2291559
- Lab name
- Manor Lake Assisted Living and Memory Care
- Address
- 85 Highland Ridge Road, Ellijay, GA 30540
- Phone
- (706) 636-9494
- Fax
- (706) 636-9495
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellijay, GA
- City of Ellijay Fire DepartmentCertificate of Waiver, Other11D2235927
- Compassus - North GeorgiaCertificate of Waiver, Hospice11D1086594
- Dermatology Specialists of Georgia, LLCCertificate of Registration, Physician office11D2034034
- Ellijay Urgent Care & Family Practice LLCCertificate of Waiver, Physician office11D2115096
- Galloway Dermatologic SurgeryCertificate of Compliance, Physician office11D2266398
- Georgia Mountains Health of EllijayCertificate of Waiver, Community clinic11D0973390
- Georgia UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D2266240
- Gilmer County Fire RescueCertificate of Waiver, Ambulance11D2208616
- Gilmer County Jail Medical DepartmentCertificate of Waiver, Other11D1049298
- Huff's Drug StoreCertificate of Waiver, Pharmacy11D2043255
Related
Questions
What is the CLIA number for Manor Lake Assisted Living and Memory Care in Ellijay?
11D2291559, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Manor Lake Assisted Living and Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2291559 expire?
The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.