CLIA lab

CLIA 11D2300587: Renviva Dialysis Center of North Georgia, LLC

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

CLIA number 11D2300587 belongs to Renviva Dialysis Center of North Georgia, LLC in Eatonton, GA.

Certificate of Waiver, effective March 13, 2026, expires March 12, 2028.

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
March 13, 2026
Certificate expiration
March 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 13, 2024
Facility type
End stage renal disease dialysis 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
11D2300587
Lab name
Renviva Dialysis Center of North Georgia, LLC
Address
301 Jefferson Avenue, Eatonton, GA 31024
Phone
(229) 421-6452
Fax
(229) 233-6207

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.

Care facility at this address

Other labs in Eatonton, GA

Related

Questions

What is the CLIA number for Renviva Dialysis Center of North Georgia, LLC in Eatonton?

11D2300587, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Renviva Dialysis Center of North Georgia, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2300587 expire?

The CMS file lists March 12, 2028 as the certificate expiration date; the certificate took effect March 13, 2026.

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