CLIA lab
CLIA 11D2300565: Primary Care at Kennesaw
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2300565 belongs to Primary Care at Kennesaw in Kennesaw, GA.
Certificate of Accreditation, effective February 4, 2025, expires February 3, 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 Accreditation
- Certificate effective
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 13, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2300565
- Lab name
- Primary Care at Kennesaw
- Address
- 2985 Mack Dobbs Road, NW, Kennesaw, GA 30152
- Phone
- (678) 490-0080
Annual test volume the lab reported
- Waived tests
- 5,000
- Tests under accreditation
- 5,000
- Total
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Airlife FiveCertificate of Waiver, Ambulance11D2020231
- Amedisys Hospice Care of KennesawCertificate of Waiver, Hospice11D1078956
- Any Lab TestCertificate of Waiver, Independent11D1079732
- Biolife Plasma Services, LPCertificate of Compliance, Other11D2219907
- CPG Endocrinology - Town CenterCertificate of Waiver, Physician office11D2141590
- Caresouth HHA Holdings of Gainesville, LLCCertificate of Waiver, Home health agency11D1054345
- Caresouth HHA Holdings of Gainesville,llcCertificate of Waiver, Hospice11D2020212
- Center for Allergy & Asthma of GaCertificate of Waiver, Physician office11D2086701
- Center for Authentic Life & Relationship,llcCertificate of Waiver, Other practitioner11D2316892
Related
Questions
What is the CLIA number for Primary Care at Kennesaw in Kennesaw?
11D2300565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Care at Kennesaw hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 11D2300565 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.